Individual
DR. IFZAL K BANGASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2507 N RICHMOND RD, MCHENRY, IL 60051
(815) 338-6600
(815) 759-4078
Mailing address
2507 N RICHMOND RD, MCHENRY, IL 60051-5407
(815) 338-6600
(815) 759-4078
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036086667
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036086667
STATE LICENSE
IL
05
—
036086667
—
IL
Enumeration date
08/25/2006
Last updated
10/17/2018
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