Healthcare Provider Details

I. General information

NPI: 1811985856
Provider Name (Legal Business Name): MUHAMMAD ZAFAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 06/03/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 190
FLANAGAN IL
61740-0190
US

IV. Provider business mailing address

PO BOX 190
FLANAGAN IL
61740-0190
US

V. Phone/Fax

Practice location:
  • Phone: 815-796-4436
  • Fax: 815-796-2836
Mailing address:
  • Phone: 815-796-4436
  • Fax: 815-796-2836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number036046404
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036046404
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: