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Search › Illinois › 103TS0200X

Anisa Hussain

NPI 1396416178 · on the registry since 2021

Practice

Address
191 W 155th Pl
Harvey, IL 60426
Phone
(708) 339-9500
Organisation at this address
West Harvey-Dixmoor Sd #147
Illinois Youth Advocate Program
Aunt Martha'S Youth Service Center
Aunt Marthas Youth Service Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-09-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois