Individual
ALAEDDIN ALI MAEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3535 N BELL SCHOOL RD, ROCKFORD, IL 61114-6624
(779) 696-9400
(779) 696-9334
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301099029
MI
207RH0003X
Hematology & Oncology Physician
Primary
036-150500
IL
Other
Enumeration date
05/26/2011
Last updated
03/12/2021
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