Organization
WAJAHAT MIRZA MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAJAHAT MIRZA MD (PRESIDENT)
(847) 543-6814
Entity
Organization
Contact information
Practice address
1170 E BELVIDERE RD, SUITE 212, GRAYSLAKE, IL 60030-2061
(847) 543-6814
(847) 543-0787
Mailing address
1170 E BELVIDERE RD, SUITE 212, GRAYSLAKE, IL 60030-2061
(847) 543-6814
(847) 543-0787
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
IL
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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