Individual
DR. AZZA MUSTAFA ABUGISISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
8550 S HARLEM AVE STE B, BRIDGEVIEW, IL 60455-1775
(708) 598-2000
Mailing address
8550 S HARLEM AVE STE B, BRIDGEVIEW, IL 60455-1775
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
01-05118
KS
111N00000X
Chiropractor
Primary
038.011508
IL
Other
Enumeration date
09/20/2007
Last updated
10/20/2009
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