Basic Information
| Provider Information | |||||||||
| NPI: | 1023658416 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CUMMINGS | ||||||||
| FirstName: | HANEEFAH | ||||||||
| MiddleName: | MARYAM | ||||||||
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| Credential: | CF-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8102 SAWMILL CREEK DR | ||||||||
| Address2: | |||||||||
| City: | DARIEN | ||||||||
| State: | IL | ||||||||
| PostalCode: | 605614918 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7085829736 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7360 N LINCOLN AVE STE 110 | ||||||||
| Address2: | |||||||||
| City: | LINCOLNWOOD | ||||||||
| State: | IL | ||||||||
| PostalCode: | 607121705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8558552712 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/14/2020 | ||||||||
| LastUpdateDate: | 01/14/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/14/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZC0006X | 242.005625 | IL | Y | Allopathic & Osteopathic Physicians | Pathology | Clinical Pathology |
No ID Information.