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Organization
MNM HOME MD INC.
Active
Organization
MNM HOME MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAZEER SHAIK MD (PRESIDENT)
(815) 744-7400
Entity
Organization
Contact information
Practice address
1325 W JEFFERSON ST, JOLIET, IL 60435-6862
(815) 744-7400
Mailing address
1325 W JEFFERSON ST, JOLIET, IL 60435-6862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036047431
IL
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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