Individual
AWAIS MIAN FAROOQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 W TAYLOR ST STE 3AA, CHICAGO, IL 60612-4795
(312) 413-3627
Mailing address
1801 W TAYLOR ST STE 3AA, CHICAGO, IL 60612-4795
(312) 413-3627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036165593
IL
208M00000X
Hospitalist Physician
Primary
036165593
IL
Other
Enumeration date
03/30/2020
Last updated
01/10/2024
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