# DUPAGE HEALTH CENTER LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PEJOMA LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982879029
- **Authorized official:** DR. SYED NASIR GHANI (PRESIDENT)
- **Authorized official phone:** (847) 219-7396

## Contact information

- **Practice address:** 206 N GARY AVE, CAROL STREAM, IL 60188-1834
- **Practice address phone:** (847) 219-7396
- **Mailing address:** 206 N GARY AVE, CAROL STREAM, IL 60188-1834
- **Mailing address phone:** (847) 219-7396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036-111607 | IL | — |
| 207R00000X | Internal Medicine Physician | 036-111607 | IL | Yes |
| 208D00000X | General Practice Physician | 036-111607 | IL | — |
| 261QU0200X | Urgent Care Clinic/Center | 036-111607 | IL | — |

## Other

- **Enumeration date:** 04/29/2008
- **Last updated:** 08/13/2008