Individual
FARRUKH A KUREISHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
422 W WHITE ST, CLINTON, IL 61727-2272
(217) 935-9571
(217) 935-7603
Mailing address
422 W WHITE ST, CLINTON, IL 61727-2272
(217) 935-9571
(217) 935-7603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036101594
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02032003
BLUE CROSS BLUE SHIELD
IL
05
—
036101594
—
IL
01
—
056153
HEALTH ALLIANCE
—
01
—
101594
OSF HEALTHPLANS
—
01
—
2191466
UNITED HEALTHCARE
—
01
—
450314
HEALTHLINK
—
01
—
601024200
US DEPT OF LABOR
—
01
—
7732279
AETNA
—
Enumeration date
11/21/2005
Last updated
09/30/2020
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