Organization
BELMONT MEDICAL & DENTAL MANAGEMENT P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD JAJEH (PRESIDENT)
(773) 770-6400
Entity
Organization
Contact information
Practice address
5611 W BELMONT AVE, CHICAGO, IL 60634-5302
(773) 770-6400
(773) 417-4684
Mailing address
5611 W BELMONT AVE, CHICAGO, IL 60634-5302
(773) 770-6400
(773) 417-4684
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
09/16/2009
Last updated
05/13/2014
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