Individual
UN KNOWN MUFAZZAL HAMEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5540 W NORTH AVE, CHICAGO, IL 60639-4235
(872) 985-8336
Mailing address
5540 W NORTH AVE, CHICAGO, IL 60639-4235
(872) 985-8336
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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