MAIMANAT NIZAM

CHICAGO, IL
NPI1265579262
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207QA0505X Family Medicine, Adult Medicine
(Licence: IL  036-069635)
Enumeration Date2007-01-30
Last Update Date2013-06-13
Business Address
-- MAIMANAT NIZAM M.D.
2001 W 69TH ST
CHICAGO, IL 60636-3262
Phone number: 773-778-2355
Mailing Address
-- MAIMANAT NIZAM M.D.
401 TAMERTON PKWY
BURR RIDGE, IL 60527-6347
Phone number: 630-654-1021
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