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Individual

MR. MOHAMMAD FAROOQ

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MS.PA-C

Contact information

Practice address
5TH AND ROOSELVET RD, HINES VA HOSPITAL, HINES, IL 60141
(708) 202-4365
(708) 202-2386
Mailing address
1104 EAST HIGHRIDGE RD, LOMABRD, IL 60148
(630) 953-0830
(708) 202-2386

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
IL

Other

Enumeration date
03/31/2006
Last updated
07/08/2007
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