Individual
MOHAMMAD MUSHAHID HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
837 AYERS ST, BOLINGBROOK, IL 60440-9047
(630) 926-3055
Mailing address
837 AYERS ST, BOLINGBROOK, IL 60440-9047
(630) 926-3055
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
500507765
IL
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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