Individual
IFFAT A CHOUDHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1225 W LAKE ST, MELROSE PARK, IL 60160-4039
(708) 681-1300
Mailing address
PO BOX 5965, CAROL STREAM, IL 60197-5965
(877) 861-9294
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036-113797
IL
Other
Enumeration date
03/18/2008
Last updated
08/31/2011
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