Individual
MIRZA MUHAMMAD ALI BAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
303 W OGDEN AVE FL 3, WESTMONT, IL 60559-1419
(630) 377-3814
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
69487-21
WI
207RC0000X
Cardiovascular Disease Physician
Primary
036.160410
IL
207RC0000X
Cardiovascular Disease Physician
69487-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100077942
—
WI
Enumeration date
03/31/2016
Last updated
09/07/2023
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