Individual
SHAHAM S MUMTAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N WINFIELD RD STE 420, WINFIELD, IL 60190-1222
(630) 682-8700
Mailing address
25 N WINFIELD RD STE 420, WINFIELD, IL 60190-1222
(630) 682-8700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.063006
IL
207RG0100X
Gastroenterology Physician
Primary
125.063006
IL
Other
Enumeration date
03/26/2013
Last updated
07/18/2019
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