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Individual

ADNAN MUSHTAQ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036-115381
IL
207RI0200X
Infectious Disease Physician
2016043819
MO
207RI0200X
Infectious Disease Physician
R4603
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036115381
IL
Enumeration date
05/27/2006
Last updated
11/27/2023
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