Individual
DR. MOHAMMAD HABIB BAWANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1105 W PARK AVE, SUITE 1, LIBERTYVILLE, IL 60048-2567
(847) 680-5880
(847) 680-5881
Mailing address
1105 W PARK AVE, SUITE 1, LIBERTYVILLE, IL 60048-2567
(847) 680-5880
(847) 680-5881
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036067603
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4901136
BC BS PROVIDER ID
IL
Enumeration date
08/12/2005
Last updated
07/08/2007
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