Individual
MR. IMTIAZ CHOUGHALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
18025 SAYRE AVE, TINLEY PARK, IL 60477-3955
(708) 444-7849
Mailing address
18025 SAYRE AVE, TINLEY PARK, IL 60477-3955
(708) 444-7849
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041.263993
IL
163WE0003X
Emergency Registered Nurse
Primary
041.263993
IL
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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