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Contact Information

SANJIDA MIRZA, MD
337 E 35TH ST
CHICAGO, IL60616
 Phone: 312-842-3547
 Fax: 312-842-1878
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for SANJIDA MIRZA · (Female)

NPI # 1174564199
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2006
Last updated 12/30/2008 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036066426
  • IL Medicaid 036066426
  • IL Other 1634708 BCBS
  • IL Other P00166625 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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