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Organization

5 PILLARS S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NAAZ AZIZ MD (OWNER)
(773) 544-5306
Entity
Organization

Contact information

Practice address
404 W IRVING PARK RD, WOOD DALE, IL 60191-1343
(773) 544-5306
Mailing address
4579 N MULLIGAN AVE, CHICAGO, IL 60630-3025
(773) 544-5306

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036127587
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036127587
IL
Enumeration date
07/21/2016
Last updated
07/21/2016
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