Individual
AMJAD NASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5362 W LAWRENCE AVE STE CW, CHICAGO, IL 60630-3659
(224) 406-1045
Mailing address
6112 W LAWRENCE AVE, CHICAGO, IL 60630-2940
(224) 406-1045
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
04/16/2022
Last updated
04/16/2022
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