Individual
STUART GHAFOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1853 W POLK ST, CHICAGO, IL 60612-4355
(312) 996-2450
Mailing address
1853 W POLK ST, CHICAGO, IL 60612-4355
(312) 996-2450
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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