Individual
MR. MIRZA A MAHDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Mailing address
925 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01081427A
IN
207L00000X
Anesthesiology Physician
036066607
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036066607
—
IL
Enumeration date
03/21/2007
Last updated
07/10/2019
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