Individual
MR. KARIM H BOUFERRACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
375 N WALL ST STE P530, KANKAKEE, IL 60901-3486
(815) 932-7200
(815) 935-7874
Mailing address
375 N WALL ST STE P530, KANKAKEE, IL 60901-3486
(815) 932-7200
(815) 935-7874
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004421
IL
Other
Enumeration date
10/11/2011
Last updated
12/14/2023
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