Individual provider · Type 1 NPI
Mamoona B. Baig
Primary Care Nurse Practitioner · Villa Park, IL
NPI number
1710879408
Active
Practice location
1118 S Leslie Ln
Villa Park, IL 60181-3131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 041.422110 (IL) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 209.032806 (IL) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1710879408
Mamoona B. Baig's National Provider Identifier is 1710879408, issued on Jul 17, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Villa Park, IL. The record was last updated on Jul 31, 2025.