ASAD REDJAI MD SC NPI 1861766404

NPI Information

ASAD REDJAI MD SC is a medical specialty clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ASAD REDJAI MD SC NPI is 1861766404. The provider is registered as an organization entity type.

The provider's business location address is:

1945 W WILSON AVE
SUITE 6120
CHICAGO, IL
ZIP 60640-255
Phone: (773) 784-5300
Fax: (773) 784-5391

The provider's authorized official is Asad Redjai .
The authorized official title is President and has the following contact phone number (773) 784-5300.

The enumeration date for this NPI number is 2/29/2012 and was last updated on 2/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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