Individual provider · Type 1 NPI
Daryll Hannah Amid Tahiyam
Adult Health Nurse Practitioner · Chicago, IL
NPI number
1316705239
Active
Practice location
5841 S Maryland Ave Rm 4602
Chicago, IL 60637-1443
Fax (773) 702-9076
Mailing address
1124 Camellia Dr Apt 3
Munster, IN 46321-3620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 209029302 (IL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1316705239
Daryll Hannah Amid Tahiyam's National Provider Identifier is 1316705239, issued on Mar 6, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Chicago, IL. The record was last updated on Mar 6, 2024.