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Individual

JAMES BUFAN QIAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-7766
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125079455
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036172708
IL
207RP1001X
Pulmonary Disease Physician
Primary
036172708
IL

Other

Enumeration date
04/15/2021
Last updated
04/17/2025
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