Provider Demographics
NPI:1235340340
Name:BAIG, NAJMULSAHAR A (ENDT)
Entity Type:Individual
Prefix:MRS
First Name:NAJMULSAHAR
Middle Name:A
Last Name:BAIG
Suffix:
Gender:F
Credentials:ENDT
Other - Prefix:MRS
Other - First Name:ELEZEBETH
Other - Middle Name:S
Other - Last Name:BAKAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ENDT
Mailing Address - Street 1:18808 W COTTAGE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE VILLA
Mailing Address - State:IL
Mailing Address - Zip Code:60046-9017
Mailing Address - Country:US
Mailing Address - Phone:847-708-1678
Mailing Address - Fax:847-223-4086
Practice Address - Street 1:18808 W COTTAGE AVE
Practice Address - Street 2:
Practice Address - City:LAKE VILLA
Practice Address - State:IL
Practice Address - Zip Code:60046-9017
Practice Address - Country:US
Practice Address - Phone:847-708-1678
Practice Address - Fax:847-223-4086
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL000828590146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic