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Individual

HONEID MOHSIN BAXAMUSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
460 COVENTRY LN, SUITE 205, CRYSTAL LAKE, IL 60014-7561
(815) 455-1550
(815) 455-9515
Mailing address
460 COVENTRY LN, SUITE 205, CRYSTAL LAKE, IL 60014-7561
(815) 455-1550
(815) 455-9515

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
IL

Other

Enumeration date
08/11/2006
Last updated
07/08/2007
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