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Y.m.shahmdsc
Specialist in Joliet, Illinois
NPI 1487894390

Y.m.shahmdsc is a Specialist based in Joliet, IL. Y.m.shahmdsc practices in Joliet, IL. The NPI Number for Y.m.shahmdsc is 1487894390 and holds a License No. 036067943 (Illinois).

The current practice location address for Y.m.shahmdsc is 2025 S Chicago St, Joliet, IL and can be reached out via phone at 815-726-2200 and via fax at 815-727-4573.

Location: 2025 S Chicago St, Joliet, IL, 60436-3172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487894390
Provider Name
Y.m.shahmdsc
Credential
Provider Entity Type
Organization
Address
2025 S Chicago St, Joliet, IL, 60436-3172
Phone Number
815-726-2200
Fax Number
815-727-4573
Provider Enumeration Date
03/05/2009
Last Update Date
02/15/2025
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
989190 01 IL MEDICARE GROUP #
institution
Provider Business Practice Location Address Details
Address
2025 S Chicago St
City
Joliet
State
Illinois
Zip
60436-3172
Phone Number
815-726-2200
Fax Number
815-727-4573
person
Provider Business Mailing Address Details
Address
2025 S Chicago St
City
Joliet
State
Illinois
Zip
60436-3172
Phone Number
815-726-2200
Fax Number
815-727-4573
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036067943 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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