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NPI Code Detail

MEDICARE: HAMID JAVED

MEDICARE:   HAMID  JAVED
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
1247ZC0005XClinical Laboratory Director (Non-physician)

General Provider Information

NPI Number : 1962163329
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAMID JAVED
Provider Business Mailing Address
First Line : 1537 BELLE HAVEN DR
Second Line :
City : GRAYSLAKE
State : IL
Zip : 60030-7908
Country : US
Telephone Number : 224-381-8828
Fax Number :
Provider Business Practice Location Address
First Line : 1537 BELLE HAVEN DR
Second Line :
City : GRAYSLAKE
State : IL
Zip : 60030-7908
Country : US
Telephone Number : 224-381-8828
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2022
Last Update Date : 01/31/2022

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Directions to “ HAMID JAVED ” Practice Location

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