MEDICARE: DANISH HAQUE 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
1	207P00000X	Emergency Medicine Physician	036106797	IL

General Provider Information

NPI Number	:	1336193093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANISH HAQUE MD

Provider Business Mailing Address
First Line	:	PO BOX 98
Second Line	:
City	:	BARRINGTON
State	:	IL
Zip	:	60011-0098
Country	:	US
Telephone Number	:	847-381-9600
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 W HIGHWAY 22
Second Line	:
City	:	BARRINGTON
State	:	IL
Zip	:	60010-1919
Country	:	US
Telephone Number	:	847-381-9600
Fax Number	:

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

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	12/09/2014

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