Maimoona Aijaz Mdsc | |
1717 Glenwood Ave Joliet IL 60435-5835 | |
(815) 744-8600 | |
Not Available |
Full Name | Maimoona Aijaz Mdsc |
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Speciality | Internal Medicine |
Location | 1717 Glenwood Ave, Joliet, Illinois |
Authorized Official Name and Position | Sadna Mohan (PRESIDENT) |
Authorized Official Contact | 6309047200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Maimoona Aijaz Mdsc 1717 Glenwood Ave Joliet IL 60435-5835 Ph: (815) 744-8600 | Maimoona Aijaz Mdsc 1717 Glenwood Ave Joliet IL 60435-5835 Ph: (815) 744-8600 |
NPI Number | 1467572503 |
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Provider Enumeration Date | 03/30/2007 |
Last Update Date | 07/08/2013 |
Medicare PECOS PAC ID | 4385621895 |
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Medicare Enrollment ID | O20040702000075 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467572503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Maimoona S Aijaz |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679518518 PECOS PAC ID: 6002893518 Enrollment ID: I20040702000115 |
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