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Individual

TARIQ BIN IFTIKHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6641 WEST OGDEN AVENUE, BERWYN, IL 60402-3756
(708) 484-9480
(708) 484-9482
Mailing address
6641 WEST OGDEN AVENUE, BERWYN, IL 60402-3756
(708) 484-9480
(708) 484-9482

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
036047917
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006895400
FEDERAL BLACK LUNG PROGRA
IL
01
01633335
BCBS
IL
05
036047917
IL
01
050564332
HUMANA
IL
01
1343149
FIRST HEALTHNETWORK
IL
01
154664
UNITEDHALTHCARE
IL
01
202841400
ACS/OWCP
IL
01
2072539
CIGNA
IL
01
3181386
AETNA
IL
01
AS62001780001
CIGNA
IL
01
P00064487
RAILROAD MEDICARE
IL
Enumeration date
08/23/2006
Last updated
08/25/2008
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