Individual
MOMIN MUZAFFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 SPRINGFIELD DR, BLOOMINGDALE, IL 60108-2215
(630) 545-7880
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036112872
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112872
—
IL
Enumeration date
06/26/2006
Last updated
07/10/2024
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