Individual
MARYAM JAVAID FAROOQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5359 W FULLERTON AVE, CHICAGO, IL 60639-1450
(773) 836-2785
(773) 836-7381
Mailing address
5359 W FULLERTON AVE, CHICAGO, IL 60639-1450
(773) 836-2785
(773) 836-7381
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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