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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