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Organization
ROSELLE PHYSICAL MEDICINE GROUP
Active
Organization
ROSELLE PHYSICAL MEDICINE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARIQ AHMED D.C (PRESIDENT)
(630) 295-8851
Entity
Organization
Contact information
Practice address
50 E IRVING PARK RD, ROSELLE, IL 60172-2050
(630) 295-8851
(630) 295-8852
Mailing address
50 E IRVING PARK RD, ROSELLE, IL 60172-2050
(630) 295-8851
(630) 295-8852
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008665
IL
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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