Addison Medical Office, INC

NPI #1710285143 in Addison, Illinois

Provider Information

NPI Number: 1710285143
Entity Type: Organization
Organization Name: Addison Medical Office, INC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 9, 2011
Last Updated: Mar 9, 2011

Practice Location

Address: 11 N ADDISON RD
City: Addison
State: Illinois
ZIP Code: 60101-3805
Phone: (630) 833-5530

Authorized Official

Name: DR. AYESHA FAREEDUDDIN, MD
Title: OWNER
Phone: (847) 828-3432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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