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Organization

MUHAMMAD ALVI MD SC

Active
Other names
WESTERN-FOSTER MEDICAL CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
OLEG IVANOV (ADMINISTRATOR)
(773) 784-1000
Entity
Organization

Contact information

Practice address
5214 N WESTERN AVE, SUITE 102, CHICAGO, IL 60625-2589
(773) 784-1000
(773) 784-1398
Mailing address
5214 N WESTERN AVE, SUITE 102, CHICAGO, IL 60625-2589
(773) 784-1000
(773) 784-1398

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036087467
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036087467
IL
Enumeration date
07/18/2007
Last updated
06/18/2008
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