Individual
IMRAN AHMED NIZAMUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 W 95TH ST FL 8, OAK LAWN, IL 60453-2600
(708) 684-5267
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.174071
IL
207RH0003X
Hematology & Oncology Physician
Primary
036.174071
IL
Other
Enumeration date
03/18/2019
Last updated
10/08/2025
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