Nizam, Maimanat
Nizam, Maimanat is an sole proprietor health care provider with primary practice located at 2001 W 69Th St , Chicago IL 60636-3262. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Nizam, Maimanat can be contacted via phone (773) 778-2355.Contact Information
Primary practice address
2001 W 69Th St
Chicago IL 60636-3262
Phone: (773) 778-2355
Fax: (773) 778-2355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 036-069635 | Illinois |
Profile Details
| NPI number | 1265579262 |
|---|---|
| LBN Legal business name | Nizam, Maimanat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jun 13th, 2013 - about 11 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 | 1265579262 | NPPES |
| Illinois | MEDICAID | 036069635 |
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