| Bushraah Medical Services Sc | |
|
6703 159th St Tinley Park IL 60477-1781 | |
| (708) 915-7130 | |
| (708) 915-7173 |
| Full Name | Bushraah Medical Services Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6703 159th St, Tinley Park, Illinois |
| Authorized Official Name and Position | Mohammad Shamshuddin (PRESIDENT) |
| Authorized Official Contact | 7089157130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bushraah Medical Services Sc 6703 159th St Tinley Park IL 60477-1781 Ph: (708) 915-7130 | Bushraah Medical Services Sc 6703 159th St Tinley Park IL 60477-1781 Ph: (708) 915-7130 |
| NPI Number | 1295965861 |
|---|---|
| Provider Enumeration Date | 07/17/2009 |
| Last Update Date | 07/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295965861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-019136 (Illinois) | Primary |
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