Shua Medical Group, INC.
Family Medicine in Burr Ridge, IL. Organization (NPI-2).
NPI number1760617286
StatusActive
Last updated in NPPESMay 28, 2009
Details
- NPI
- 1760617286
- Entity type
- Organization (NPI-2)
- Legal business name
- Shua Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- May 28, 2009
- Last updated
- May 28, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
322 Burr Ridge PkwyBurr Ridge, IL 60527-6485
Phone 630-321-9010
Mailing address
1133 Laurel LnNaperville, IL 60540-7834
Authorized official
Ather Malik
President
6303219010
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