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Individual
ADEM SHUAIPAJ
Active
Individual
ADEM SHUAIPAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.154011
IL
390200000X
Student in an Organized Health Care Education/Training Program
125072647
IL
Other
Enumeration date
06/04/2018
Last updated
08/03/2021
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