Organization
NORTHERN STAR MGMT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTABEK FAYZIYEV (PRESIDENT / OWNER)
(630) 778-6617
Entity
Organization
Contact information
Practice address
1755 PARK ST, SUITE 200, NAPERVILLE, IL 60563-4861
(630) 778-6617
Mailing address
1755 PARK ST, SUITE 200, NAPERVILLE, IL 60563-4861
(630) 778-6617
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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