Individual
MR. AWAIS AZMAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1135 W 69TH ST, CHICAGO, IL 60621-1147
(773) 483-5011
(773) 483-5594
Mailing address
1135 W 69TH ST, CHICAGO, IL 60621-1147
(773) 483-5011
(773) 483-5594
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-130428
IL
Other
Enumeration date
07/27/2009
Last updated
04/21/2021
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