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Individual

DR. MIR ASHAD ALI YADULLAHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1500 SOUTH CALIFORNIA AVENUE, OS-551, CHICAGO, IL 60608-1782
(773) 257-6552
Mailing address
441 DELAWARE CIR, BOLINGBROOK, IL 60440-1467
(630) 414-8232

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036122477
IL
2084N0600X
Clinical Neurophysiology Physician
Primary
036122477
IL

Other

Enumeration date
05/12/2008
Last updated
12/17/2021
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