Individual
SAFWAT G. ISKANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 N WALL ST, SUITE 312, KANKAKEE, IL 60901-2940
(815) 933-3200
(815) 933-3557
Mailing address
400 N WALL ST, SUITE 312, KANKAKEE, IL 60901-2940
(815) 933-3200
(815) 933-3557
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036102421
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102421
—
IL
Enumeration date
04/26/2006
Last updated
09/17/2012
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