Individual
IFTEKHAR A. AWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 E FAIRMAN AVE, WATSEKA, IL 60970-1644
(815) 432-5841
Mailing address
640 W WASHINGTON ST, PITTSFIELD, IL 62363-1350
(217) 285-2113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036097105
IL
207P00000X
Emergency Medicine Physician
29474
IA
Other
Enumeration date
09/14/2005
Last updated
10/31/2023
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