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Individual

MUHAMMAD SHAMSE TABRIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7804 W COLLEGE DR, SUITE 1NW, PALOS HEIGHTS, IL 60463-1025
(708) 361-5778
(708) 361-5631
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036108516
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036108516
IL
01
21622441
BCBS PROVIDER ID
IL
01
P00060304
RAILROAD MEDICARE
IL
Enumeration date
08/10/2006
Last updated
12/21/2021
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