Nadeem Ansari, M.d.,s.c.

NPI #1730448770 in Kankakee, Illinois

Provider Information

NPI Number: 1730448770
Entity Type: Organization
Organization Name: Nadeem Ansari, M.d.,s.c.
Primary Specialty: Internal Medicine
Enumeration Date: May 11, 2012
Last Updated: May 11, 2012

Practice Location

Address: 401 N WALL ST
Address 2: STE. 102
City: Kankakee
State: Illinois
ZIP Code: 60901-2934
Phone: (815) 937-4404

Authorized Official

Name: DR. NADEEM ANSARI, M.D.
Title: PRESIDENT
Phone: (815) 937-4404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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