Imtiyaz Pasha, Unknown
Imtiyaz Pasha, Unknown is an sole proprietor health care provider with primary practice located at 4539 N Sheridan Rd , Chicago IL 60640-5618. He recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as his primary health care specialty. Imtiyaz Pasha, Unknown can be contacted via phone (773) 432-7187.Contact Information
Primary practice address
4539 N Sheridan Rd
Chicago IL 60640-5618
Phone: (773) 432-7187
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Laboratories / Clinical Medical Laboratory | 291U00000X | Illinois |
Profile Details
| NPI number | 1962141895 |
|---|---|
| LBN Legal business name | Imtiyaz Pasha, Unknown |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2022 |
| Last updated | Aug 26th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962141895 | NPPES |
| Illinois | Other | 14D2557061 | LICENSE |
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