Individual
DR. FARAZ IMTIAZ HAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
220 SPRINGFIELD DR, BLOOMINGDALE, IL 60108-2215
(630) 510-6929
(630) 355-3257
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-005757
IL
Other
Enumeration date
03/31/2015
Last updated
08/08/2023
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