Organization
IJAZ QAYYUM M.D.,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IJAZ QAYYUM M.D. (MEDICAL DIRECTOR)
(708) 361-0718
Entity
Organization
Contact information
Practice address
7530 W COLLEGE DR, SUITE C, PALOS HEIGHTS, IL 60463-1196
(708) 361-0718
(708) 361-1379
Mailing address
7530 W COLLEGE DR, SUITE C, PALOS HEIGHTS, IL 60463-1196
(708) 361-0718
(708) 361-1379
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036049622
IL
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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