Masum Kidiwala
Masum Kidiwala is a Medical-Surgical Registered Nurse in Morton Grove, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2020
Practice location Address checks out
8841 Major AveMorton Grove, IL 60053-2531
Phone: (847) 899-2544
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Specialties & licences
| Medical-Surgical Registered Nurse (primary) | Taxonomy 163WM0705X · Licence 041476223 (IL) |
|---|
Record details
| NPI number | 1245858935 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 8, 2020 |
| Last updated in NPPES | July 8, 2020 |
| Certification date | July 8, 2020 |
| Mailing address | 8841 Major Ave, Morton Grove, IL 60053-2531 |