500 DAVIS ST. SUITE 512, EVANSTON, 60201, ILLINOIS
| Entity Name | SHAFIQ A. BAZAZ, M.D., P.C. |
| Entity Number | 4141899 |
| Status | ACTIVE |
| Incorporation Date | 14th September 2011 |
| Dos Process Address | 3617, DANE STREET, SHRUB OAK, 10588, NEW YORK |
| Jurisdiction | NEW YORK |
| County | WESTCHESTER |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |