Individual
MUSSARAT J. BUKHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(877) 635-9229
(847) 618-3259
Mailing address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(877) 635-9229
(847) 618-3259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-130805
IL
207Q00000X
Family Medicine Physician
125056962
IL
208M00000X
Hospitalist Physician
Primary
036-130805
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036130805
STATE LICENSE
IL
Enumeration date
06/25/2009
Last updated
12/09/2021
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