Provider Demographics
NPI:1730676099
Name:ASHRAF, NABILA
Entity Type:Individual
Prefix:
First Name:NABILA
Middle Name:
Last Name:ASHRAF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 RIDGE LN APT 4
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-3049
Mailing Address - Country:US
Mailing Address - Phone:224-436-6812
Mailing Address - Fax:
Practice Address - Street 1:2000 RIDGE LN APT 4
Practice Address - Street 2:
Practice Address - City:WOODRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60517-3049
Practice Address - Country:US
Practice Address - Phone:224-436-6812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-21
Last Update Date:2018-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program