# MAIMOONA AIJAZ MDSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467572503
- **Authorized official:** SADNA MOHAN (PRESIDENT)
- **Authorized official phone:** (630) 904-7200

## Contact information

- **Practice address:** 1717 GLENWOOD AVE, JOLIET, IL 60435-5835
- **Practice address phone:** (815) 744-8600
- **Mailing address:** 1717 GLENWOOD AVE, JOLIET, IL 60435-5835
- **Mailing address phone:** (815) 744-8600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 07/08/2013