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Individual

MR. IMRAN SYED NIZAMUDDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
2311 OGDEN AVE, AURORA, IL 60504-7221
(630) 898-3431
Mailing address
3818 WHITE EAGLE DR, NAPERVILLE, IL 60564-9706
(630) 898-1283

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
051.291232
IL

Other

Enumeration date
09/14/2011
Last updated
09/14/2011
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