Individual
ISRAR UL HAQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
375 N. WALL STREET, KANKAKEE, IL 60901
(815) 935-0750
(419) 242-9806
Mailing address
375 N. WALL STREET, KANKAKEE, IL 60901
(419) 324-9271
(419) 242-9806
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036.162947
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2018
Last updated
08/14/2023
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