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Organization
KASSAR MD INC
Active
Organization
KASSAR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOQUEET SYED (CREDENTIALING MANAGER)
(630) 827-2500
Entity
Organization
Contact information
Practice address
8220 RIDGEPOINT DR, BURR RIDGE, IL 60527-5983
(630) 456-0708
Mailing address
8220 RIDGEPOINT DR, BURR RIDGE, IL 60527-5983
(630) 456-0708
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A422-2807-8274
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A422-2807-8274
LICENSE NUMBER
IL
Enumeration date
06/09/2016
Last updated
06/09/2016
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