Provider Demographics
NPI:1538593926
Name:HUSAIN, ZAINAB (OD)
Entity type:Individual
Prefix:
First Name:ZAINAB
Middle Name:
Last Name:HUSAIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ZAINAB
Other - Middle Name:
Other - Last Name:KARIMJEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:2150 S CANALPORT AVE
Mailing Address - Street 2:#3A-11
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-4559
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2150 S CANALPORT AVE
Practice Address - Street 2:#3A-11
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-4559
Practice Address - Country:US
Practice Address - Phone:312-929-3340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046.010699152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist