# MOHAMMAD A GHAFOOR MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801168166
- **Authorized official:** MOHAMMAD A GHAFOOR M.D., S.C. (PRESIDENT)
- **Authorized official phone:** (815) 434-7204

## Contact information

- **Practice address:** 827 E NORRIS DR, OTTAWA, IL 61350-1629
- **Practice address phone:** (815) 434-7204
- **Practice address fax:** (815) 434-9266
- **Mailing address:** 827 E NORRIS DR, OTTAWA, IL 61350-1629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 036046916 | IL | Yes |

## Other

- **Enumeration date:** 02/02/2012
- **Last updated:** 02/02/2012