Kidiwala, Masum

Kidiwala, Masum is an sole proprietor health care provider with primary practice located at 8841 Major Ave , Morton Grove IL 60053-2531. He recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as his primary health care specialty. Kidiwala, Masum can be contacted via phone (847) 899-2544.

Contact Information

Primary practice address
8841 Major Ave Morton Grove IL 60053-2531
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 041476223 Illinois

Profile Details

NPI number 1245858935
LBN Legal business name Kidiwala, Masum
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2020
Last updated Jul 8th, 2020 - about 4 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.

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