Individual
FIRDAUSI F MAZDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 W BUTTERFIELD RD, STE 245, ELMHURST, IL 60126-5068
(630) 941-2646
(630) 941-3464
Mailing address
360 W BUTTERFIELD RD, STE 245, ELMHURST, IL 60126-5068
(630) 941-2646
(630) 941-3464
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036-053459
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360534593
—
IL
Enumeration date
01/10/2006
Last updated
12/10/2013
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