Individual
ALI IMTIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 SPALDING DR STE 202, NAPERVILLE, IL 60540-6552
(630) 873-8889
(630) 456-7138
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036-161534
IL
Other
Enumeration date
04/05/2017
Last updated
08/08/2023
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