Individual
MR. JAVIDAN MUSTAFAYEV SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8528 W CATHERINE AVE UNIT 3S, CHICAGO, IL 60656-2500
(312) 951-3191
Mailing address
8528 W CATHERINE AVE UNIT 3S, CHICAGO, IL 60656-2500
(312) 951-3191
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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