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Individual

NEDA IMAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-4323
(815) 759-4948
Mailing address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-4323
(815) 759-4948

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD449238
PA
207Q00000X
Family Medicine Physician
036.137120
IL
207Q00000X
Family Medicine Physician
MD449238
PA
207R00000X
Internal Medicine Physician
MD449238
PA
208M00000X
Hospitalist Physician
Primary
036137120
IL

Other

Enumeration date
06/18/2010
Last updated
10/24/2022
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