Individual
MAAJID MOHAMMED YUNUS EKKISWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1045 W STEPHENSON ST, FREEPORT, IL 61032-4864
(815) 599-6000
Mailing address
2638 SWANSON PKWY, ROCKFORD, IL 61109-1879
(201) 667-4754
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT199826
PA
Other
Enumeration date
06/03/2011
Last updated
08/14/2023
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