Provider Demographics
NPI:1518415926
Name:AGHAJI, QUEEN (MD)
Entity Type:Individual
Prefix:
First Name:QUEEN
Middle Name:
Last Name:AGHAJI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 N LAKE SHORE DR
Mailing Address - Street 2:PRESENCE SAINT JOSEPH HOSPITAL CHICAGO
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-5640
Mailing Address - Country:US
Mailing Address - Phone:773-665-6730
Mailing Address - Fax:773-665-3401
Practice Address - Street 1:2900 N LAKE SHORE DR
Practice Address - Street 2:PRESENCE SAINT JOSEPH HOSPITAL CHICAGO
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5640
Practice Address - Country:US
Practice Address - Phone:773-665-6730
Practice Address - Fax:773-665-3401
Is Sole Proprietor?:No
Enumeration Date:2016-09-14
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125069350207R00000X
IL036147116208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine