Provider Demographics
NPI:1700473501
Name:HUSSAIN, NURAH (MA)
Entity Type:Individual
Prefix:
First Name:NURAH
Middle Name:
Last Name:HUSSAIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 W MADISON ST STE 702
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-4671
Mailing Address - Country:US
Mailing Address - Phone:312-880-9913
Mailing Address - Fax:844-787-9891
Practice Address - Street 1:105 W MADISON ST STE 702
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-4671
Practice Address - Country:US
Practice Address - Phone:312-880-9913
Practice Address - Fax:844-787-9891
Is Sole Proprietor?:No
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health