Organization
SOUTH SUBURBAN CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMTIAZ HAMID MD (MD)
(708) 799-0180
Entity
Organization
Contact information
Practice address
17901 GOVERNORS HWY, SUITE 101, HOMEWOOD, IL 60430-1146
(708) 799-0180
Mailing address
PO BOX 820, MATTESON, IL 60443-0820
(708) 799-0180
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-045222
IL
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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