Individual
DR. FURQUAAN M ISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(801) 433-8693
Mailing address
6144 WASHINGTON CT, MORTON GROVE, IL 60053-2238
(801) 433-8693
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036133627
IL
Other
Enumeration date
08/09/2010
Last updated
07/05/2015
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