Organization
EIKRS SERVICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EJAZ N JAFRI APN (PRESIDENT)
(630) 251-0206
Entity
Organization
Contact information
Practice address
5 WHEATON CTR APT 225, WHEATON, IL 60187-4991
(630) 251-0206
Mailing address
5 WHEATON CTR APT 225, WHEATON, IL 60187-4991
(630) 251-0206
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041414951
—
IL
Enumeration date
01/09/2020
Last updated
01/16/2020
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