Individual
HUMAIRA BARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-4066
(815) 971-9299
Mailing address
2400 N. ROCKTON AVENUE, ROCKFORD, IL 61103
(815) 971-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036112309
IL
208M00000X
Hospitalist Physician
036112309
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112309
—
IL
Enumeration date
10/13/2006
Last updated
10/17/2024
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