Individual
FARHAN MAQBOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 N RUTLEDGE ST FL 5, SPRINGFIELD, IL 62702-6700
(217) 545-8000
(217) 545-1159
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
(217) 545-2101
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036.165022
IL
2086S0102X
Surgical Critical Care Physician
Primary
036.165022
IL
Other
Enumeration date
06/24/2017
Last updated
08/11/2023
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