Individual
TAJIDDIN FAISAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 WELLS AVE, HARVEY, IL 60426-1217
(773) 828-2690
Mailing address
20 WELLS AVE, HARVEY, IL 60426-1217
(773) 828-2690
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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