Individual
MITCHELL FARAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153-3328
(708) 216-1084
Mailing address
1200 HARGER RD, STE 408, OAK BROOK, IL 60523-1818
(630) 581-6504
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125065925
IL
Other
Enumeration date
05/14/2014
Last updated
07/01/2020
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