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NPI Code Detail

MEDICARE: ASAD RAFIQ MD

MEDICARE:   ASAD  RAFIQ  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician36113877IL
2207RG0100XGastroenterology Physician036-113877IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
136113877OTHERILSTATE LICENSE NUMBER

General Provider Information

NPI Number : 1295879666
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASAD RAFIQ MD
Provider Business Mailing Address
First Line : 630 E NORTH AVE
Second Line : DEPT OF GI
City : CAROL STREAM
State : IL
Zip : 60188
Country : US
Telephone Number : 630-458-5300
Fax Number :
Provider Business Practice Location Address
First Line : 630 E NORTH AVE DEPT OF
Second Line :
City : CAROL STREAM
State : IL
Zip : 60188-2127
Country : US
Telephone Number : 630-458-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2007
Last Update Date : 03/26/2021

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Directions to “ ASAD RAFIQ MD” Practice Location

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