Basic Information
Provider Information
NPI: 1295099901
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NASEER
FirstName: MEHJABEEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5140 N CALIFORNIA AVE STE 700
Address2:  
City: CHICAGO
State: IL
PostalCode: 606253657
CountryCode: US
TelephoneNumber: 7737842101
FaxNumber: 7737840771
Practice Location
Address1: 5145 N CALIFORNIA AVE
Address2: SWEDISH COVENANT HOSPITAL- MEDICAL EDUCATION DEPT
City: CHICAGO
State: IL
PostalCode: 606253661
CountryCode: US
TelephoneNumber: 7738788200
FaxNumber: 7739891648
Other Information
ProviderEnumerationDate: 06/27/2012
LastUpdateDate: 10/15/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X036138073ILY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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