Search › Illinois › 170300000X
Ismam Islam
NPI 1346800158 · on the registry since 2019
Practice
- Address
- 900 W Nelson St
Chicago, IL 60657 - Phone
- (773) 296-5351
- Clinicians at this address
- 25
Additional practice sites
- 615 S New Ballas Rd Ste G400, Saint Louis, MO
Registry record
- Primary taxonomy
- 170300000X
170300000X
- Also registered as
- 170300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois