Provider Demographics
NPI:1093748394
Name:MUSACCHIO, NAJAH SENNO (MD)
Entity type:Individual
Prefix:DR
First Name:NAJAH
Middle Name:SENNO
Last Name:MUSACCHIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NAJAH
Other - Middle Name:
Other - Last Name:SENNO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2650 RIDGE AVE STE 1223
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1700
Mailing Address - Country:US
Mailing Address - Phone:847-982-6715
Mailing Address - Fax:
Practice Address - Street 1:1600 DODGE AVE RM H-101
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-3449
Practice Address - Country:US
Practice Address - Phone:847-424-7265
Practice Address - Fax:847-492-5809
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-113660208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics