Individual
FAHAD KARIM MUSTAFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 SURRYSE RD, LAKE ZURICH, IL 60047-3217
(847) 438-2144
(847) 438-4654
Mailing address
350 SURRYSE RD, LAKE ZURICH, IL 60047-3217
(847) 438-2144
(847) 438-4654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036131735
IL
Other
Enumeration date
06/17/2010
Last updated
12/14/2021
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