| Hajat Ltd | |
|
11808 S Pulaski Rd Alsip IL 60803-1608 | |
| (708) 489-6200 | |
| (708) 489-6249 |
| Full Name | Hajat Ltd |
|---|---|
| Speciality | Pediatrics |
| Location | 11808 S Pulaski Rd, Alsip, Illinois |
| Authorized Official Name and Position | Gulam A Hajat (PRESIDENT) |
| Authorized Official Contact | 6302724265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hajat Ltd 28 Deer Path Trl Burr Ridge IL 60527-6324 Ph: (630) 272-4265 | Hajat Ltd 11808 S Pulaski Rd Alsip IL 60803-1608 Ph: (708) 489-6200 |
| NPI Number | 1598855702 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 03/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598855702 | NPI | - | NPPES |
| 1617335 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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