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Individual

ASAD RAFIQ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
630 E NORTH AVE DEPT OF, CAROL STREAM, IL 60188-2127
(630) 458-5300
Mailing address
630 E NORTH AVE, DEPT OF GI, CAROL STREAM, IL 60188
(630) 458-5300

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36113877
IL
207RG0100X
Gastroenterology Physician
Primary
036-113877
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36113877
STATE LICENSE NUMBER
IL
Enumeration date
02/17/2007
Last updated
03/26/2021
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