Individual
DR. ANJUM HAMEEDUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4647 LINCOLN HWY, MATTESON, IL 60443-2319
(708) 747-7720
(708) 915-7239
Mailing address
PO BOX 1119, MATTESON, IL 60443-4119
(708) 747-5850
(708) 747-9991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036051648
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051648
—
IL
Enumeration date
07/19/2005
Last updated
02/20/2013
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