Organization
INTERNAL MEDICINE & FAMILY PRACTICE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHID MASOOD MD (PRESIDENT)
(815) 741-3532
Entity
Organization
Contact information
Practice address
1719 GLENWOOD AVE, JOLIET, IL 60435-5835
(815) 741-3532
(815) 741-3736
Mailing address
1719 GLENWOOD AVE, JOLIET, IL 60435-5835
(815) 741-3532
(815) 741-3736
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
03/16/2010
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