Iftikhar, Tariq Bin

Iftikhar, Tariq Bin is an individual health care provider with primary practice located at 6641 West Ogden Avenue , Berwyn IL 60402-3756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Iftikhar, Tariq Bin can be contacted via phone (708) 484-9480.

Contact Information

Primary practice address
6641 West Ogden Avenue Berwyn IL 60402-3756
Phone: (708) 484-9480
Fax: (708) 484-9482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 036047917 Illinois

Profile Details

NPI number 1407963879
LBN Legal business name Iftikhar, Tariq Bin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Aug 25th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407963879 NPPES
Illinois MEDICAID 036047917
Illinois Other 2072539
Illinois Other 01633335
Illinois Other 050564332
Illinois Other AS62001780001
Illinois Other 006895400
Illinois Other P00064487
Illinois Other 1343149
Illinois Other 154664
Illinois Other 202841400
Illinois Other 3181386

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