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Organization
MJM MEDICAL CORP
Active
Organization
MJM MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD MIRAN D.O. (CEO)
(224) 412-1720
Entity
Organization
Contact information
Practice address
5696 HEIDI DR, ROCKFORD, IL 61109-1768
(224) 412-1720
Mailing address
5696 HEIDI DR, ROCKFORD, IL 61109-1768
(224) 412-1720
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
036-127728
IL
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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