MEDICARE: DR. FARZANA BEGUM 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
1	207R00000X	Internal Medicine Physician		IL

General Provider Information

NPI Number	:	1184616310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FARZANA BEGUM M.D.

Provider Business Mailing Address
First Line	:	7008 N CRAWFORD AVE
Second Line	:
City	:	LINCOLNWOOD
State	:	IL
Zip	:	60712-2302
Country	:	US
Telephone Number	:	312-791-9647
Fax Number	:	312-791-9648

Provider Business Practice Location Address
First Line	:	2600 S MICHIGAN AVE
Second Line	:	SUITE 310
City	:	CHICAGO
State	:	IL
Zip	:	60616-2857
Country	:	US
Telephone Number	:	312-791-9647
Fax Number	:	312-791-9648

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	07/09/2007

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