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Organization
MIDWESTERN INTERNAL MEDICINE ASSOCIATES.
Active
Organization
MIDWESTERN INTERNAL MEDICINE ASSOCIATES.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHLEERLUR R ZACKARIYA (PRESIDENT)
(815) 549-7940
Entity
Organization
Contact information
Practice address
25711 S EGYPTIAN TRL, MONEE, IL 60449-8118
(815) 304-1998
Mailing address
25711 S EGYPTIAN TRL, MONEE, IL 60449-8118
(815) 304-1998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036098582
IL
Other
Enumeration date
10/02/2009
Last updated
06/15/2010
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