Individual
MUFTAWU-DEEN IDDRISU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE, BURR RIDGE, IL 60637-1443
(888) 824-0200
Mailing address
150 HARVESTER DR, STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125076052
IL
208M00000X
Hospitalist Physician
Primary
036162653
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2020
Last updated
10/08/2024
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