# INTERNAL MEDICINE AND FAMILY PHYSICIANS, SC

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

## Provider details

- **NPI number:** 1730281536
- **Authorized official:** DR. SAMIULLAH M CHOUDRY M.D. (PRESIDENT)
- **Authorized official phone:** (815) 773-0099

## Contact information

- **Practice address:** 1051 ESSINGTON RD, SUITE 290, JOLIET, IL 60435-2801
- **Practice address phone:** (815) 773-0099
- **Practice address fax:** (815) 773-0088
- **Mailing address:** 1051 ESSINGTON ROAD, SUITE 290, JOLIET, IL 60435-2842
- **Mailing address phone:** (815) 773-0099
- **Mailing address fax:** (815) 773-0088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036-105476 | IL | Yes |

## Other

- **Enumeration date:** 09/02/2006
- **Last updated:** 06/14/2010