Individual
DR. MOHAMMAD NAZIM FAROOQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 933-1671
Mailing address
350 N WALL ST, KANKAKEE, IL 60901-2901
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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