Organization
MUKARAMULLAH SYED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUKARAMULLAH SYED MD (DIRECTOR)
(815) 479-8166
Entity
Organization
Contact information
Practice address
4309 W MEDICAL CENTER DR, SUITE B201, MCHENRY, IL 60050-8419
(815) 479-8166
(815) 880-7806
Mailing address
4309 W MEDICAL CENTER DR, SUITE B201, MCHENRY, IL 60050-8419
(815) 479-8166
(815) 880-7806
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036082303
IL
207RI0011X
Interventional Cardiology Physician
Primary
036082303
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5632408
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/04/2009
Last updated
03/15/2016
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