Individual
DR. DARAKHSHAN ANJUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1450 E DIVISION ST, DIAMOND, IL 60416-6050
(815) 634-3500
(815) 416-1718
Mailing address
725 SCHOOL ST STE A, MORRIS, IL 60450-1207
(815) 941-9124
(815) 941-4363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.140980
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036140980
IL LICENSE
IL
Enumeration date
04/06/2011
Last updated
05/27/2021
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