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Organization
SSD MEDICAL GROUP INC
Active
Organization
SSD MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAZIA DAUDI MD (PRESIDENT)
(847) 230-9808
Entity
Organization
Contact information
Practice address
12151 REGENCY PKWY STE 12165, HUNTLEY, IL 60142-7644
(847) 230-9808
(847) 984-1915
Mailing address
12151 REGENCY PKWY STE 12165, HUNTLEY, IL 60142-7644
(847) 230-9808
(847) 984-1915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
302F00000X
Exclusive Provider Organization
336072732
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111912
—
IL
Enumeration date
05/11/2017
Last updated
02/17/2026
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