Individual
TABASUM AMIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
205 W TOUHY AVE STE 104, PARK RIDGE, IL 60068-4218
(847) 384-3551
Mailing address
9475 HARRISON ST, DES PLAINES, IL 60016-1542
(847) 298-1445
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
036114879
IL
Other
Enumeration date
10/10/2006
Last updated
09/25/2017
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