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Organization
ASAD REDJAI MD SC
Active
Organization
ASAD REDJAI MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASAD REDJAI MD SC (PRESIDENT)
(773) 784-5300
Entity
Organization
Contact information
Practice address
1945 W WILSON AVE, SUITE 6120, CHICAGO, IL 60640-5255
(773) 784-5300
(773) 784-5391
Mailing address
1945 W WILSON AVE, SUITE 6120, CHICAGO, IL 60640-5255
(773) 784-5300
(773) 784-5391
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
036053488
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053488
—
IL
Enumeration date
02/29/2012
Last updated
02/29/2012
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