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Organization

SEWHSHS MEDICAL GROUP INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ABDUL W KAZI MD (PHYSICIAN)
(618) 234-2120
Entity
Organization

Contact information

Practice address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(618) 234-2120
(618) 222-4768
Mailing address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(618) 234-2120
(618) 222-4768

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03606045
IL
Enumeration date
09/21/2011
Last updated
03/22/2013
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