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Organization
SHAH ALAM PC
Active
Organization
SHAH ALAM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAH A ALAM MD (PRESIDENT)
(630) 306-7944
Entity
Organization
Contact information
Practice address
2701 W 68TH ST, HOLY CROSS HOSPITAL, CHICAGO, IL 60629-1813
(773) 884-9000
Mailing address
1057 CHERRY LN, LOMBARD, IL 60148-4033
(630) 306-7944
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036114268
IL
207R00000X
Internal Medicine Physician
Primary
036114268
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114268
—
IL
Enumeration date
01/07/2013
Last updated
01/08/2013
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