Individual
WAQAS MANSOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
958 E NEW YORK ST, 954B, AURORA, IL 60505
(815) 582-0389
Mailing address
958 E NEW YORK ST, UNIT 954B, AURORA, IL 60505
(815) 582-0389
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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