Provider Demographics
NPI:1245575869
Name:MOHAJIR, SEEMA FAHIM (BHS)
Entity Type:Individual
Prefix:MRS
First Name:SEEMA
Middle Name:FAHIM
Last Name:MOHAJIR
Suffix:
Gender:F
Credentials:BHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19543 BROOKRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60487-7098
Mailing Address - Country:US
Mailing Address - Phone:815-464-1299
Mailing Address - Fax:
Practice Address - Street 1:2601 LINCOLN HWY
Practice Address - Street 2:SUITE 101
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1862
Practice Address - Country:US
Practice Address - Phone:708-570-1665
Practice Address - Fax:800-430-8150
Is Sole Proprietor?:No
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL217.0000652355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant