Organization
INTERNAL MEDICINE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIM M. HAMEEDUDDIN M.D. (MEDICAL DIRECTOR)
(312) 944-0688
Entity
Organization
Contact information
Practice address
201 E HURON ST, #12-205, CHICAGO, IL 60611-3197
(312) 944-0688
(312) 944-2886
Mailing address
201 E HURON ST, #12-205, CHICAGO, IL 60611-3197
(312) 944-0688
(312) 944-2886
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619148
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/29/2006
Last updated
08/22/2020
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