Organization
ISSAN HEALTH CARE GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAZEER SHAIK MD (PRESIDENT)
(708) 458-7170
Entity
Organization
Contact information
Practice address
815 N LARKIN AVE STE 100, JOLIET, IL 60435-3449
(815) 744-7400
(157) 447-4358
Mailing address
815 N LARKIN AVE STE 100, JOLIET, IL 60435-3449
(815) 744-7400
(157) 447-4358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01606583
BLUE CROSS BLUE SHIELD
IL
01
—
DG5049
RAILROAD MEDICARE
IL
Enumeration date
07/09/2006
Last updated
12/10/2018
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