# IFZAL K BANGASH M.D.S.C.

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

## Provider details

- **NPI number:** 1962510537
- **Authorized official:** DR. IFZAL K BANGASH M.D. (PRESIDENT)
- **Authorized official phone:** (815) 344-2300

## Contact information

- **Practice address:** 4314 W CRYSTAL LAKE RD, SUITE D, MCHENRY, IL 60050-4211
- **Practice address phone:** (815) 344-2300
- **Practice address fax:** (815) 344-2334
- **Mailing address:** 4309 W MEDICAL CENTER DR, MCHENRY, IL 60050
- **Mailing address phone:** (815) 338-6600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036086667 | IL | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 08/08/2017