Organization
HAJAT LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GULAM A HAJAT MD (PRESIDENT)
(630) 272-4265
Entity
Organization
Contact information
Practice address
11808 S PULASKI RD, ALSIP, IL 60803-1608
(708) 489-6200
(708) 489-6249
Mailing address
28 DEER PATH TRL, BURR RIDGE, IL 60527-6324
(630) 272-4265
(708) 489-6249
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1617335
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/16/2006
Last updated
03/10/2014
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