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NPI Code Detail

MEDICARE: DR. ABDUL HAFEEZ BHURGRI M.D.

MEDICARE: DR. ABDUL HAFEEZ BHURGRI M.D.
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
1208000000XPediatrics Physician036087828IL

General Provider Information

NPI Number : 1558421727
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABDUL HAFEEZ BHURGRI M.D.
Provider Business Mailing Address
First Line : 7237 S GARFIELD RD
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-6904
Country : US
Telephone Number : 773-650-1209
Fax Number : 773-376-7495
Provider Business Practice Location Address
First Line : 2355 S WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-3837
Country : US
Telephone Number : 773-650-1211
Fax Number : 773-376-7495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 07/08/2007

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