Provider Demographics
NPI:1275429631
Name:ALARAJ, DEENA (NP)
Entity type:Individual
Prefix:
First Name:DEENA
Middle Name:
Last Name:ALARAJ
Suffix:
Gender:X
Credentials:NP
Other - Prefix:
Other - First Name:DEENA
Other - Middle Name:
Other - Last Name:ALARAJ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:1320 W WRIGHTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-1911
Mailing Address - Country:US
Mailing Address - Phone:773-420-7191
Mailing Address - Fax:773-420-7191
Practice Address - Street 1:1320 W WRIGHTWOOD AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-1911
Practice Address - Country:US
Practice Address - Phone:773-420-7191
Practice Address - Fax:773-420-7191
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.434858163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical