Individual
TARIQ SYED LATEEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1550 BISHOP CT, MOUNT PROSPECT, IL 60056-6039
(847) 685-9900
Mailing address
158 PAXTON RD, BLOOMINGDALE, IL 60108-3048
(407) 770-9362
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
036150298
IL
Other
Enumeration date
04/21/2015
Last updated
06/01/2020
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