Individual
FARHEEN MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1222
(630) 933-6879
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036135955
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE GROUP
IL
01
—
F400393155
MEDICARE INDIVIDUAL
IL
Enumeration date
06/09/2009
Last updated
03/17/2018
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