Provider Demographics
NPI:1487836821
Name:HUSAIN, NOOR FATIMA (MD)
Entity type:Individual
Prefix:DR
First Name:NOOR
Middle Name:FATIMA
Last Name:HUSAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:490 W LAKE ST UNIT 3
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:IL
Mailing Address - Zip Code:60172-3551
Mailing Address - Country:US
Mailing Address - Phone:630-989-8559
Mailing Address - Fax:630-833-2487
Practice Address - Street 1:490 W LAKE ST UNIT 3
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172-3551
Practice Address - Country:US
Practice Address - Phone:630-989-8559
Practice Address - Fax:630-833-2487
Is Sole Proprietor?:No
Enumeration Date:2007-11-28
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361170862084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry