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
Phone: (847) 899-2544
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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