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Individual

DR. RUSHAD FIRDOS MARFATIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5000
Mailing address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125.077919
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1093343048
IL
Enumeration date
03/27/2020
Last updated
07/06/2021
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