Individual
FNU REEM IMTIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3134 N CLARK ST, CHICAGO, IL 60657-4414
(312) 766-4949
Mailing address
3134 N CLARK ST, CHICAGO, IL 60657-4414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.079948
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/04/2022
Last updated
04/20/2025
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