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ADEM SHUAIPAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4061 W 95TH ST, OAK LAWN, IL 60453-2611
(708) 423-2880
(708) 423-2933
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(304) 699-2006

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.154011
IL
390200000X
Student in an Organized Health Care Education/Training Program
125072647
IL

Other

Enumeration date
06/04/2018
Last updated
08/03/2021
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