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Individual

FARRUKH AIJAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
150 W HIGH ST, MORRIS, IL 60450-1497
(815) 942-2932
Mailing address
725 SCHOOL ST, MORRIS, IL 60450-1218
(815) 705-5605
(815) 941-4363

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036-075061
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0360750613
IL
01
220012654
RR MC
IL
Enumeration date
04/25/2006
Last updated
11/26/2018
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