Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MASUM KIDIWALA
Active Sole ProprietorMASUM KIDIWALA is a Medical-Surgical Nurse healthcare provider located in MORTON GROVE, Illinois. NPI 1245858935 is currently active in the NPPES registry. Verify at CMS.
Medical-Surgical Nurse · MORTON GROVE, IL
Registration Details
- NPI Number
- 1245858935
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2020 (6.1421142970024 yrs)
- Last Updated
- Jul 8, 2020
- License
-
041476223 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8841 MAJOR AVEMORTON GROVE, IL, 600532531Browse IL providers · Browse ZIP 60053
- Phone
- 8478992544
- Primary Specialty
-
Medical-Surgical Nurse
163WM0705X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.