Mazharuddin, Farkhunda

Mazharuddin, Farkhunda is an sole proprietor health care provider with primary practice located at 1802 W Chicago Ave Ste 5 , Chicago IL 60622-5512. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mazharuddin, Farkhunda can be contacted via phone (773) 278-8727.

Contact Information

Primary practice address
1802 W Chicago Ave Ste 5 Chicago IL 60622-5512
Phone: (773) 278-8727
Fax: (844) 364-6372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036065434 Illinois

Profile Details

NPI number 1023181088
LBN Legal business name Mazharuddin, Farkhunda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
Last updated Jan 28th, 2020 - about 6 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 1023181088 NPPES
Illinois MEDICAID 036065434
Illinois Other 31601508

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