Organization
DUPAGE HEALTH CENTER LTD
Active
Organization
DUPAGE HEALTH CENTER LTD
Active
Other names
PEJOMA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED NASIR GHANI (PRESIDENT)
(847) 219-7396
Entity
Organization
Contact information
Practice address
206 N GARY AVE, CAROL STREAM, IL 60188-1834
(847) 219-7396
Mailing address
206 N GARY AVE, CAROL STREAM, IL 60188-1834
(847) 219-7396
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-111607
IL
207R00000X
Internal Medicine Physician
Primary
036-111607
IL
208D00000X
General Practice Physician
036-111607
IL
261QU0200X
Urgent Care Clinic/Center
036-111607
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036111607
MEDICAL LICENSE NUMBER
IL
Enumeration date
04/29/2008
Last updated
08/13/2008
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