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Organization

KASSAR MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MOQUEET SYED (CREDENTIALING MANAGER)
(630) 827-2500
Entity
Organization

Contact information

Practice address
8220 RIDGEPOINT DR, BURR RIDGE, IL 60527-5983
(630) 456-0708
Mailing address
8220 RIDGEPOINT DR, BURR RIDGE, IL 60527-5983
(630) 456-0708

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A422-2807-8274
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A422-2807-8274
LICENSE NUMBER
IL
Enumeration date
06/09/2016
Last updated
06/09/2016
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