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Unknown Imtiyaz Pasha
NPI 1962141895 · on the registry since 2022 · sole proprietor
Practice
- Address
- 4539 N Sheridan Rd
Chicago, IL 60640 - Phone
- (773) 432-7187
- Organisation at this address
- Optima Medical Center Inc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 6759 N Clark St, Chicago, IL
- 3448 N Clark St, Chicago, IL
Registry record
- Primary taxonomy
- 291U00000X
291U00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois