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MRS. SURIYYA AZRA MARYUM LATIF
NPI 1265117451
Counselor - Mental Health in Waukegan, IL

Active since June 16, 2023
3002 GRAND AVE, WAUKEGAN, IL 60085(847) 377-8618(847) 984-5676 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2023, Jun 16, 2023 (2 updates tracked since 2023).

About Mrs. Suriyya Azra Maryum Latif NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SURIYYA AZRA MARYUM LATIF (NPI 1265117451) is an individual mental health provider in Waukegan, Illinois and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1265117451
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. SURIYYA AZRA MARYUM LATIF
Location Address3002 GRAND AVEWaukegan, IL 60085-2321
Mailing Address3002 Grand AveWaukegan, IL 60085-2321 · (847) 377-8618 · Fax (847) 984-5676
Phone(847) 377-8618
Fax(847) 984-5676
Sole ProprietorYes
Enumeration DateJune 16, 2023
Last NPPES UpdateNovember 21, 20232 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
✔ NPI 1265117451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
3002 GRAND AVE, Waukegan, IL 60085
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATHENA RATILLA
Counselor (Addiction (Substance Use Disorder))
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
OLIVER JADEN SANCHEZ MHP, EMT
Counselor
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8000
JONI GEER SELL
Registered Nurse
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
SUNITA GROVER
Registered Nurse
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
KATHERINE BERGSTROM MHP
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8088
MICHAEL SWEENEY
Counselor (Addiction (Substance Use Disorder))
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
ANGIE STEFANI
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8246
MARIAM SALEH
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (224) 237-7164

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suriyya Latif's NPI number?

The NPI number for Suriyya Latif is 1265117451. It was assigned to this individual provider in the NPPES registry on June 16, 2023.

Where is Suriyya Latif located?

Suriyya Latif practices at 3002 Grand Ave, Waukegan, IL 60085. The listed phone number is (847) 377-8618.

What is Suriyya Latif's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Suriyya Latif was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.