Individual
EDWARD C FARKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
812 N LOGAN AVE, DANVILLE, IL 61832-3752
(217) 443-5000
(217) 477-2722
Mailing address
PO BOX 2358, DANVILLE, IL 61834-2358
(217) 443-5000
(217) 477-2722
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
36059823
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360598231
—
IL
Enumeration date
01/20/2006
Last updated
09/13/2007
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