Individual
FATHIMA FIJULA PALOT MANZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S.
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
036166834
IL
207U00000X
Nuclear Medicine Physician
E-12123
AR
2085R0202X
Diagnostic Radiology Physician
036166834
IL
Other
Enumeration date
10/18/2010
Last updated
04/04/2024
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