Full Name | Hajat Ltd |
---|---|
Speciality | Pediatrics |
Location | 11808 S Pulaski Rd, Alsip, Illinois |
Authorized Official Name and Position | Gulam A Hajat (PRESIDENT) |
Authorized Official Contact | 6302724265 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hajat Ltd 28 Deer Path Trl Burr Ridge IL 60527-6324 Ph: (630) 272-4265 | Hajat Ltd 11808 S Pulaski Rd Alsip IL 60803-1608 Ph: (708) 489-6200 |
NPI Number | 1598855702 |
---|---|
Provider Enumeration Date | 10/16/2006 |
Last Update Date | 03/10/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598855702 | NPI | - | NPPES |
1617335 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Primary |
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