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Organization

FIRST PEEK ULTRASOUND

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BEEZER MOOLJI MD (AUTHORIZED OFFICIAL)
(972) 215-8703
Entity
Organization

Contact information

Practice address
7121A NORTH AVE, OAK PARK, IL 60302-1002
(972) 215-8703
Mailing address
7121A NORTH AVE, OAK PARK, IL 60302-1002
(972) 215-8703

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
02/25/2019
Last updated
02/25/2019
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