Individual
DR. ATIF FAKHRUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 TEMPLETON DR, OSWEGO, IL 60543-7000
(630) 554-3456
Mailing address
28594 NETWORK PL, CHICAGO, IL 60673-1285
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
36116035
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036116035
—
IL
Enumeration date
06/03/2006
Last updated
06/17/2025
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