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Maimanat Nizam, MD
Adult Medicine Physician in Chicago, Illinois
NPI 1265579262

Maimanat Nizam is an Adult Medicine Physician based in Burr Ridge, IL and is specialized in Adult Medicine. Maimanat Nizam practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Maimanat Nizam is 1265579262 and holds a License No. 036-069635 (Illinois).

The current practice location address for Maimanat Nizam is 2001 W 69Th St, Chicago, IL and can be reached out via phone at 773-778-2355 and via fax at 773-778-2355. You can also correspond with Maimanat Nizam through the mailing address at 401 TAMERTON PKWY, BURR RIDGE, IL - 60527-6347 (mailing address contact number: 630-654-1021).

Location: 2001 W 69Th St, Chicago, IL, 60527-6347
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Provider Profile Details
NPI Number
1265579262
Provider Name
Maimanat Nizam
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2001 W 69Th St, Chicago, IL, 60527-6347
Phone Number
773-778-2355
Fax Number
773-778-2355
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036069635 05 IL
institution
Provider Business Practice Location Address Details
Address
2001 W 69Th St
City
State
Zip
60636-3262
Phone Number
773-778-2355
Fax Number
773-778-2355
person
Provider Business Mailing Address Details
Address
2001 W 69Th St
City
State
Zip
60636-3262
Phone Number
773-778-2355
Fax Number
773-778-2355
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
036-069635 (Illinois)
Definition
Definition to come.
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