Individual
MR. ISMAM ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 W NELSON ST, CHICAGO, IL 60657-6704
(773) 296-5351
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
246-000717
IL
170300000X
Genetic Counselor (M.S.)
—
—
Other
Enumeration date
06/14/2019
Last updated
11/25/2024
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