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NPI Code Detail

MEDICARE: ABDULLAH ZEESHAN FAROOQUI

MEDICARE: ABDULLAH ZEESHAN FAROOQUI
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
1207Q00000XFamily Medicine Physician125.078531IL

General Provider Information

NPI Number : 1629647169
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDULLAH ZEESHAN FAROOQUI
Provider Business Mailing Address
First Line : 2413 MANCHESTER CT APT D
Second Line :
City : WOODRIDGE
State : IL
Zip : 60517-2067
Country : US
Telephone Number : 630-290-3606
Fax Number :
Provider Business Practice Location Address
First Line : 7531 S STONY ISLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60649-3993
Country : US
Telephone Number : 773-947-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2021
Last Update Date : 06/20/2021

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Directions to “ ABDULLAH ZEESHAN FAROOQUI ” Practice Location

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