Individual
DR. HUZEFA YUNUS GHADIALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-7000
Mailing address
29624 NETWORK PL, CHICAGO, IL 60673-1296
(815) 971-7000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036-132811
IL
207L00000X
Anesthesiology Physician
2012011171
MO
207L00000X
Anesthesiology Physician
Primary
60298
WI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
036-132811
IL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
60298
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437398187
—
WI
Enumeration date
02/19/2009
Last updated
07/29/2024
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