Individual
DR. FOWZIA S GHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1331 W 75TH ST STE 202, NAPERVILLE, IL 60540-9311
(630) 922-1400
(630) 904-7378
Mailing address
1331 W 75TH ST STE 202, NAPERVILLE, IL 60540-9311
(630) 922-1400
(630) 904-7378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036096076
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096076
—
IL
Enumeration date
09/20/2005
Last updated
12/16/2020
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