Organization
BUSHRAAH MEDICAL SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD SHAMSHUDDIN MD (PRESIDENT)
(708) 915-7130
Entity
Organization
Contact information
Practice address
6703 159TH ST, TINLEY PARK, IL 60477-1781
(708) 915-7130
(708) 915-7173
Mailing address
6703 159TH ST, TINLEY PARK, IL 60477-1781
(708) 915-7130
(708) 915-7173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-019136
IL
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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