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Individual

MOSTAFA ABDUL-RAHMAN FARACHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
305 W JACKSON ST STE 103, CARBONDALE, IL 62901-1474
(618) 351-4972
(618) 351-6522
Mailing address
16513 HAVEN AVE, ORLAND HILLS, IL 60487-5637
(218) 786-8364

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036158130
IL
2084N0400X
Neurology Physician
2025024854
MO
2084N0400X
Neurology Physician
25IA12907000
NJ
2084N0400X
Neurology Physician
Primary
50637
MN
2084N0400X
Neurology Physician
W0804
TX

Other

Enumeration date
06/11/2007
Last updated
03/24/2026
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