Organization
UBAIDUR PAPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UBAIDUR R. PAPA M.D (PEDIATRICIAN)
(815) 455-1266
Entity
Organization
Contact information
Practice address
460 COVENTRY LN, SUITE 206, CRYSTAL LAKE, IL 60014-7561
(815) 455-1266
(815) 455-0789
Mailing address
460 COVENTRY LN, SUITE 206, CRYSTAL LAKE, IL 60014-7561
(815) 455-1266
(815) 455-0789
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36044800
IL
Other
Enumeration date
08/14/2006
Last updated
08/22/2020
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