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Organization
FAIROAKS MEDICAL LLC
Active
Organization
FAIROAKS MEDICAL LLC
Active
Other names
AMERICAN FAMILY MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD VASEEMUDDIN M.D. (OWNER)
(630) 876-9000
Entity
Organization
Contact information
Practice address
1254 OGDEN AVE, DOWNERS GROVE, IL 60515-2740
(630) 963-6912
(630) 963-1499
Mailing address
1254 OGDEN AVE, DOWNERS GROVE, IL 60515-2740
(630) 963-6912
(630) 963-1499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
NULL
Other
Enumeration date
09/08/2014
Last updated
08/14/2023
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