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Individual

DR. ALTAF DAWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2350 N ROCKTON AVE FL 3, ROCKFORD, IL 61103-3600
(815) 971-5510
(815) 968-9453
Mailing address
29624 NETWORK PL, CHICAGO, IL 60673-1296
(608) 756-6278

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15286
NV
207RG0100X
Gastroenterology Physician
1036979
PA
207RG0100X
Gastroenterology Physician
Primary
84848
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100092458
WI
Enumeration date
03/23/2011
Last updated
03/10/2026
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