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Individual

DR. EJAAZ AHMAD KALIMULLAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-8785
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.117487
IL
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
036.117487
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036.117487
IL
2084A2900X
Neurocritical Care Physician
036.117487
IL

Other

Enumeration date
04/23/2007
Last updated
10/13/2023
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