Organization
NUWAVE PROVIDERS INC
Active
Other names
NPI
Organization subpart
No
Provider details
NPI number
Authorized official
FAIZAN MOHAMMED (PRESIDENT)
(872) 310-9837
Entity
Organization
Contact information
Practice address
6308 N ROCKWELL ST APT 2, CHICAGO, IL 60659-0220
(872) 310-9837
Mailing address
6308 N ROCKWELL ST APT 2, CHICAGO, IL 60659-0220
(872) 310-9837
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/08/2025
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