Individual
FARHAN MOHAMMAD MAZHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 S PAULINA ST, CHICAGO, IL 60612-3806
(312) 942-5459
Mailing address
600 S PAULINA ST, CHICAGO, IL 60612-3806
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125059945
IL
207L00000X
Anesthesiology Physician
Primary
63710-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M26025385008
DRIVERS LICENSE
IL
Enumeration date
06/29/2011
Last updated
10/17/2024
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