Individual
DR. FAROOQ SHAHZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, BOX 93, CHICAGO, IL 60611-2991
(312) 227-6250
(312) 227-9408
Mailing address
225 E CHICAGO AVE, BOX 93, CHICAGO, IL 60611-2991
(312) 227-6250
(312) 227-9408
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036141401
IL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
036141401
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16282
—
ND
Enumeration date
08/13/2007
Last updated
06/26/2019
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