Iskander, Safwat G.

Iskander, Safwat G. is an sole proprietor health care provider with primary practice located at 400 N Wall St Suite 312, Kankakee IL 60901-2940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Iskander, Safwat G. can be contacted via phone (815) 933-3200.

Contact Information

Primary practice address
400 N Wall St Suite 312 Kankakee IL 60901-2940
Fax: (815) 933-3557
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036102421 Illinois

Profile Details

NPI number 1194781112
LBN Legal business name Iskander, Safwat G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Sep 17th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194781112 NPPES
Illinois MEDICAID 036102421

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