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General NPI Number Information
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NPI Number | 1770599938
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Entity Type | Individual
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Provider Name | SYEDA A. IFTIKHAR M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 1507 S FALCON DR
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-4897
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Country | US
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Telephone | 224-567-8713
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Fax | 224-444-4533
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Provider Business Mailing Address
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Address Line | 1507 S FALCON DR
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-4897
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Country | US
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Telephone | 224-475-9496
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Fax | 224-444-4533
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 18039
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 21284
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036102332
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License Number State | IL
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