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1477132918
WARA AHSAN IMAM
MAYWOOD, IL
NPI
1477132918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IL 125.077463)
Enumeration Date
2021-04-02
Last Update Date
2022-01-06
Business Address
WARA AHSAN IMAM DO
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-3282
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Mailing Address
WARA AHSAN IMAM DO
917 SAINT STEPHENS GRN
OAK BROOK, IL 60523-2569
Phone number: 630-433-0729
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