Individual
MR. GULAM AE HAJAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11808 S PULASKI RD, ALSIP, IL 60803-1608
(708) 489-6200
(708) 489-6249
Mailing address
28 DEER PATH TRL, BURR RIDGE, IL 60527-6324
(630) 272-4265
(708) 489-6249
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
336019374
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054708
—
IL
Enumeration date
09/08/2006
Last updated
03/10/2014
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