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Individual

DR. ASIF K MUSTAFA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.-PH.D.

Contact information

Practice address
4400 W 95TH ST STE 308, OAK LAWN, IL 60453-2660
(708) 346-4040
(708) 346-3287
Mailing address
9500 BORMET DR STE 204, MOKENA, IL 60448-8399
(708) 346-4044
(708) 346-3287

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
PENDING
IL

Other

Enumeration date
05/11/2010
Last updated
12/17/2021
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