Individual
SYED ALI IMRAN BOKHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 TIFFANY PT STE 110, BLOOMINGDALE, IL 60108-2915
(630) 924-1160
Mailing address
6237 BENTLEY AVE, WILLOWBROOK, IL 60527-1962
(630) 880-9104
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
03612864
IL
2084P0804X
Child & Adolescent Psychiatry Physician
03612864
IL
Other
Enumeration date
06/30/2009
Last updated
02/12/2014
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