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1194248914
MOHAMED IHTESHAM SHAJI
CHICAGO, IL
NPI
1194248914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RA0000X Internal Medicine, Adolescent Medicine
(Licence: IL 125.069826)
Enumeration Date
2017-07-24
Last Update Date
2017-08-15
Business Address
MOHAMED IHTESHAM SHAJI MD
4646 N MARINE DR
CHICAGO, IL 60640-5759
Phone number: 773-564-7400
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Mailing Address
MOHAMED IHTESHAM SHAJI MD
DEPT OF GME, 4646 N MARINE DR 7TH FL STE 7100
CHICAGO, IL 60640-5759
Phone number:
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