Organization
DEEN HEALTH SYSTEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED S SIRAJUDEEN (MANAGER)
(773) 552-1355
Entity
Organization
Contact information
Practice address
2611 S LAWNDALE AVE, CHICAGO, IL 60623-4520
(773) 521-6666
(833) 404-2600
Mailing address
4909 W DIVISION ST STE 101, CHICAGO, IL 60651-3108
(773) 552-1355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
01/23/2018
Last updated
06/16/2018
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