Individual
DR. NOOR TAZUDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 N MARINE DR STE 220, CHICAGO, IL 60640-7972
(608) 287-2658
Mailing address
4700 N MARINE DR STE 220, CHICAGO, IL 60640-7972
(608) 287-2658
(773) 334-3399
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
01084857A
IN
207N00000X
Dermatology Physician
Primary
036.146214
IL
207N00000X
Dermatology Physician
5930-851
WI
207R00000X
Internal Medicine Physician
125065910
IL
Other
Enumeration date
06/30/2014
Last updated
11/06/2020
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