Mir, Mariam Tariq

Mir, Mariam Tariq is an individual health care provider with primary practice located at 17800 Kedzie Ave , Hazel Crest IL 60429-2029. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mir, Mariam Tariq can be contacted via phone (708) 799-8000.

Contact Information

Primary practice address
17800 Kedzie Ave Hazel Crest IL 60429-2029
Phone: (708) 799-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036151588 Illinois

Profile Details

NPI number 1164954707
LBN Legal business name Mir, Mariam Tariq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2017
Last updated Apr 19th, 2022 - 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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