Organization
ENGLEWOOD PEDIATRICS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARZANA IZHAR MD (MD)
(773) 874-3005
Entity
Organization
Contact information
Practice address
6307 S STEWART AVE STE 302, CHICAGO, IL 60621-3116
(773) 874-3005
(773) 874-3305
Mailing address
6307 S STEWART AVE STE 302, CHICAGO, IL 60621-3116
(773) 874-3005
(773) 874-3305
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-097206
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-097206
—
IL
Enumeration date
04/28/2018
Last updated
05/07/2018
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