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Organization

ABDUL AND BANDY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAHA MIRZA DDOS (LAB DIRECTOR)
(847) 322-8054
Entity
Organization

Contact information

Practice address
4437 E STATE ST # 3, ROCKFORD, IL 61108-2114
(815) 627-0419
Mailing address
816 N COOLIDGE AVE, PALATINE, IL 60067-2224

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
02/23/2022
Last updated
02/23/2022
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