location
search-icon
person
Mustafa Syed Azimuddin, DO
Student in an Organized Health Care Education/Training Program in La Grange, Illinois
NPI 1366970576

Mustafa Syed Azimuddin is a Student in an Organized Health Care Education/Training Program based in La Grange, IL. Mustafa Syed Azimuddin practices in La Grange, IL and has the professional credentials of DO. The NPI Number for Mustafa Syed Azimuddin is 1366970576 and holds a License No. 125070421 (Illinois).

The current practice location address for Mustafa Syed Azimuddin is 1325 Community Memorial Dr, La Grange, IL and can be reached out via phone at 708-245-8900 and via fax at 708-245-5777.

Location: 1325 Community Memorial Dr, La Grange, IL, 60525-2659
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366970576
Provider Name
Mustafa Syed Azimuddin
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1325 Community Memorial Dr, La Grange, IL, 60525-2659
Phone Number
708-245-8900
Fax Number
708-245-5777
Provider Enumeration Date
06/01/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1325 Community Memorial Dr
City
La Grange
State
Illinois
Zip
60525-2659
Phone Number
708-245-8900
Fax Number
708-245-5777
person
Provider Business Mailing Address Details
Address
1325 Community Memorial Dr
City
La Grange
State
Illinois
Zip
60525-2659
Phone Number
708-245-8900
Fax Number
708-245-5777
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
125070421 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.