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Organization

DR SANJIDA MIRZA MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANJIDA MIRZA MD (OWNER PHYSICIAN)
(312) 842-6547
Entity
Organization

Contact information

Practice address
337 E 35TH ST, CHICAGO, IL 60616-3951
(312) 842-3547
(312) 842-1878
Mailing address
849 OAKWOOD DR, WESTMONT, IL 60559-1065
(312) 842-3547
(312) 842-1878

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
IL

Other

Enumeration date
04/13/2007
Last updated
12/27/2007
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