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Individual

DR. SHOEB JAMALUDIN SITAFALWALLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-2210
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125052875
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036-124152
IL

Other

Enumeration date
08/03/2008
Last updated
12/23/2024
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