Individual
FAROUK ISAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N HARLEM AVENUE, FREEPORT, IL 61032-3801
(815) 599-7788
Mailing address
PO BOX 268, FREEPORT, IL 61032-0268
(815) 559-7950
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-070882
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070882
—
IL
Enumeration date
03/27/2006
Last updated
10/23/2017
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