Individual
SEEMA MIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153
(708) 216-0891
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-0891
(708) 216-8188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.172523
IL
207R00000X
Internal Medicine Physician
MD.45380
AL
208M00000X
Hospitalist Physician
Primary
036172523
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308706
—
AL
05
—
308886
—
AL
05
—
315521
—
AL
Enumeration date
05/07/2019
Last updated
11/19/2024
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