Individual
WAJAHAT MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1170 E BELVIDERE RD, SUITE 212, GRAYSLAKE, IL 60030-2061
(847) 543-6814
(847) 543-0787
Mailing address
1170 E BELVIDERE RD, SUITE 212, GRAYSLAKE, IL 60030-2061
(847) 543-6814
(847) 543-0787
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-087622
IL
Other
Enumeration date
08/09/2005
Last updated
08/05/2024
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