Organization
MOHAMMAD A MIRZA MD SC
Active
Other names
MA Mirza MD SC
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD A MIRZA MD (PRESIDENT)
(773) 735-4600
Entity
Organization
Contact information
Practice address
6723 S PULASKI ROAD, CHICAGO, IL 60629-4118
(773) 735-4600
(773) 735-3112
Mailing address
6723 S PULASKI ROAD, CHICAGO, IL 60629-4118
(773) 735-4600
(773) 735-3112
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
IL
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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