Individual
DR. SYED IRFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2819 GLENWOOD AVE, ROCKFORD, IL 61101-3542
(815) 971-4060
(815) 971-9060
Mailing address
2819 GLENWOOD AVE, ROCKFORD, IL 61101-3542
(815) 971-4060
(815) 971-9060
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036115936
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036115936
STATE LICENSE
IL
Enumeration date
07/01/2006
Last updated
09/25/2012
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