Mrs. Suriyya Azra Maryum Latif
Mrs. Suriyya Azra Maryum Latif is a Case Management Agency in Waukegan, Illinois. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 3
Practice location Address checks out
3002 Grand AveWaukegan, IL 60085-2321
Phone: (847) 377-8618
Fax: (847) 984-5676
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Case Management Agency | Taxonomy 251B00000X |
| Substance Abuse Rehabilitation Facility | Taxonomy 324500000X |
Record details
| NPI number | 1265117451 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 16, 2023 |
| Last updated in NPPES | November 21, 2023 |
| Certification date | November 21, 2023 |
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