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1922876309
SAFIA KHAN MUJTABA
NORTHBROOK, IL
NPI
1922876309
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Former Name
SAFIA KHAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL 209.029049)
Enumeration Date
2023-12-15
Last Update Date
2023-12-15
Business Address
SAFIA KHAN MUJTABA PMHNP
4201 LAKE COOK RD STE 200
NORTHBROOK, IL 60062-1060
Phone number: 847-565-8999
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Mailing Address
SAFIA KHAN MUJTABA PMHNP
393 VININGS DR
BLOOMINGDALE, IL 60108-2630
Phone number: 224-425-7253
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