Individual
DR. BAROUKH RADFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16264 PRINCE DR, SOUTH HOLLAND, IL 60473
(708) 331-2040
(708) 331-9755
Mailing address
16264 PRINCE DR, SOUTH HOLLAND, IL 60473
(708) 331-2040
(708) 331-9755
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036047059
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047059
—
IL
Enumeration date
11/15/2006
Last updated
09/28/2012
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