Individual
ABDUS SAMAD SOUDAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
396 REMINGTON BLVD, 260, BOLINGBROOK, IL 60440-4302
(630) 312-2590
Mailing address
396 REMINGTON BLVD, 260, BOLINGBROOK, IL 60440-4302
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036129936
IL
Other
Enumeration date
06/21/2009
Last updated
01/31/2017
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