Individual
FAISAL BUKHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD SC
Contact information
Practice address
2 W ADAMS ST, SULLIVAN, IL 61951-1943
(217) 728-7353
(217) 728-2580
Mailing address
2 WEST ADAMS, SULLIVAN, IL 61951-1983
(217) 728-7353
(217) 728-2580
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036088652
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088652
—
IL
01
—
07021960
BCBS ILLINOIS
IL
01
—
110242003
PALMETTO
IL
Enumeration date
06/01/2005
Last updated
04/29/2024
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