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Organization

MIDWEST GERIATRIC ASSOCIATES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MOQUEET A SYED (MANAGER)
(630) 440-7786
Entity
Organization

Contact information

Practice address
1 TRANS AM PLAZA DRIVE, SUITE 16, OAKBROOK TERRACE, IL 60181-4663
(630) 440-7786
(630) 242-8450
Mailing address
1 TRANS AM PLAZA DRIVE, SUITE 16, OAKBROOK TERRACE, IL 60181-4663
(630) 440-7786
(630) 242-8450

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036-104408
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
207RG0300X
TAXONOMY
IL
Enumeration date
05/13/2016
Last updated
05/13/2016
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