# AFTAB MEMON MD S CO

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

## Provider details

- **NPI number:** 1912375262
- **Authorized official:** AFTAB MEMON M.D. (OWNER)
- **Authorized official phone:** (708) 425-4662

## Contact information

- **Practice address:** 4938 W 95TH ST, OAK LAWN, IL 60453-2504
- **Practice address phone:** (708) 425-4662
- **Practice address fax:** (708) 425-4692
- **Mailing address:** 4938 W 95TH ST, OAK LAWN, IL 60453-2504
- **Mailing address phone:** (708) 425-4662
- **Mailing address fax:** (708) 425-4692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036134604 | IL | Yes |

## Other

- **Enumeration date:** 09/03/2015
- **Last updated:** 09/03/2015