Organization
IFZAL K BANGASH M.D.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IFZAL K BANGASH M.D. (PRESIDENT)
(815) 344-2300
Entity
Organization
Contact information
Practice address
4314 W CRYSTAL LAKE RD, SUITE D, MCHENRY, IL 60050-4211
(815) 344-2300
(815) 344-2334
Mailing address
4309 W MEDICAL CENTER DR, MCHENRY, IL 60050
(815) 338-6600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036086667
IL
Other
Enumeration date
08/25/2006
Last updated
08/08/2017
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