Individual
JAVED IQBAL BANGASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 LARKIN AVE, SUITE 101, ELGIN, IL 60123-4405
(847) 742-9698
(847) 742-9743
Mailing address
2050 LARKIN AVE, SUITE 101, ELGIN, IL 60123-4405
(847) 742-9698
(847) 742-9743
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-060695
IL
208000000X
Pediatrics Physician
336025262
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060695
—
IL
01
—
045000608
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/16/2006
Last updated
12/18/2012
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