Organization
SHER AHSAN K NIAZI INC
Active
Other names
Joliet Pediatrics And Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHER AHSAN K NIAZI MD (PRESIDENT)
(815) 741-8888
Entity
Organization
Contact information
Practice address
1721 GLENWOOD AVE, JOLIET, IL 60435-5835
(815) 741-8888
(815) 730-3323
Mailing address
1721 GLENWOOD AVE, JOLIET, IL 60435-5835
(815) 741-8888
(815) 730-3323
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036089109
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089109
—
IL
01
—
9922502
BLUE CROSS AND BLUE SHIELD OF ILLINOIS
IL
Enumeration date
05/16/2008
Last updated
05/16/2008
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