Humayun S S C
Internal Medicine, Nephrology in Chicago, IL. Organization (NPI-2).
NPI number1710074976
StatusActive
Last updated in NPPESFeb 3, 2025
Details
- NPI
- 1710074976
- Entity type
- Organization (NPI-2)
- Legal business name
- Humayun S S C
- Organization subpart
- No
- Enumeration date
- Oct 9, 2006
- Certification date
- Feb 3, 2025
- Last updated
- Feb 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
Practice location
2740 W Foster Ave Ste 105Chicago, IL 60625-3547
Phone 773-784-2101 · Fax 773-784-0771
Mailing address
2740 W Foster Ave Ste 105Chicago, IL 60625-3547
Phone 773-784-2101 · Fax 773-784-0771
Authorized official
Hamid Humayun
President
7737842101
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