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NPI Code Detail

MEDICARE: MAHUM MIRZA DO

MEDICARE: MAHUM MIRZA DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician125.075884IL
2207R00000XInternal Medicine Physician036-162479IL

General Provider Information

NPI Number : 1992333686
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAHUM MIRZA DO
Provider Business Mailing Address
First Line : PO BOX 713260
Second Line :
City : CHICAGO
State : IL
Zip : 60677-1260
Country : US
Telephone Number : 630-469-9200
Fax Number :
Provider Business Practice Location Address
First Line : 801 N CASS AVE STE 150
Second Line :
City : WESTMONT
State : IL
Zip : 60559-1121
Country : US
Telephone Number : 630-268-0200
Fax Number : 630-963-6579
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2020
Last Update Date : 10/03/2025

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Directions to “ MAHUM MIRZA DO” Practice Location

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