| Mnm Home MD Inc. | |
|
1325 W Jefferson St Joliet IL 60435-6862 | |
| (815) 744-7400 | |
| Not Available |
| Full Name | Mnm Home MD Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1325 W Jefferson St, Joliet, Illinois |
| Authorized Official Name and Position | Nazeer Shaik (PRESIDENT) |
| Authorized Official Contact | 8157447400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mnm Home MD Inc. 1325 W Jefferson St Joliet IL 60435-6862 | Mnm Home MD Inc. 1325 W Jefferson St Joliet IL 60435-6862 Ph: (815) 744-7400 |
| NPI Number | 1164853388 |
|---|---|
| Provider Enumeration Date | 12/13/2013 |
| Last Update Date | 12/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164853388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036047431 (Illinois) | Primary |
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