Individual
FAZLUR R. ZAHURULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N PERRYVILLE RD, ROCKFORD, IL 61114-8011
(815) 971-2000
Mailing address
3401 N PERRYVILLE RD, ROCKFORD, IL 61114-8011
(815) 971-2000
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
036102836
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102836
—
IL
Enumeration date
01/18/2006
Last updated
05/17/2023
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