Organization
IMRAN NISAR MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMRAN NISAR MD (OWNER PHYSICIAN)
(708) 532-6029
Entity
Organization
Contact information
Practice address
800 BIESTERFIELD RD, SUITE 510, ELK GROVE VILLAGE, IL 60007-3311
(847) 981-3660
Mailing address
PO BOX 967, TINLEY PARK, IL 60477-0967
(708) 532-6029
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036091258
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232933
BCBSOFIL
IL
05
—
036091258
—
IL
Enumeration date
02/02/2007
Last updated
07/16/2008
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