Hameeduddin, Anjum
Hameeduddin, Anjum is an individual health care provider with primary practice located at 4647 Lincoln Hwy , Matteson IL 60443-2319. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hameeduddin, Anjum can be contacted via phone (708) 747-7720.Contact Information
Primary practice address
4647 Lincoln Hwy
Matteson IL 60443-2319
Phone: (708) 747-7720
Fax: (708) 915-7239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036051648 | Illinois |
Profile Details
| NPI number | 1285633461 |
|---|---|
| LBN Legal business name | Hameeduddin, Anjum |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Feb 20th, 2013 - about 13 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 | 1285633461 | NPPES |
| Illinois | MEDICAID | 036051648 |
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