Individual
WAQAS AZHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 W CARPENTER ST FL 1, SPRINGFIELD, IL 62702-4901
(217) 545-8000
Mailing address
201 E MADISON ST STE 328, SPRINGFIELD, IL 62702-5131
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036143116
IL
207RH0003X
Hematology & Oncology Physician
Primary
036143116
IL
208M00000X
Hospitalist Physician
036143116
IL
Other
Enumeration date
07/15/2014
Last updated
02/12/2024
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