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Organization
PEARL MEDICAL CENTER S.C.
Active
Organization
PEARL MEDICAL CENTER S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUQSITA NASHAT M.D. (PRESIDENT)
(773) 506-1234
Entity
Organization
Contact information
Practice address
1945 W WILSON AVE STE 5115, CHICAGO, IL 60640-5258
(773) 506-1234
(773) 506-1235
Mailing address
4926 N CHRISTIANA AVE, CHICAGO, IL 60625-5004
(773) 866-2182
(773) 866-1182
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
IL
Other
Enumeration date
05/03/2007
Last updated
11/19/2007
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