Provider Demographics
NPI:1619854239
Name:ATEEQ, SAFURA
Entity type:Individual
Prefix:
First Name:SAFURA
Middle Name:
Last Name:ATEEQ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 S STEWART AVE
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-3910
Mailing Address - Country:US
Mailing Address - Phone:630-930-1531
Mailing Address - Fax:
Practice Address - Street 1:1011 S STEWART AVE
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-3910
Practice Address - Country:US
Practice Address - Phone:630-930-1531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program