Organization
MOHAMMED RAZVI MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED RAZVI MD (PRESIDENT)
(815) 432-4312
Entity
Organization
Contact information
Practice address
130 LAIRD LN, SUITE 102, WATSEKA, IL 60970-1820
(815) 432-4312
(815) 432-3616
Mailing address
130 LAIRD LN, SUITE 102, WATSEKA, IL 60970-1820
(815) 432-4312
(815) 432-3616
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036047344
IL
Other
Enumeration date
04/30/2008
Last updated
04/12/2012
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