Shahzad, Farooq

Shahzad, Farooq is an individual health care provider with primary practice located at 225 E Chicago Ave Box 93, Chicago IL 60611-2991. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Shahzad, Farooq can be contacted via phone (312) 227-6250.

Contact Information

Primary practice address
225 E Chicago Ave Box 93 Chicago IL 60611-2991
Phone: (312) 227-6250
Fax: (312) 227-9408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036141401 Illinois
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 036141401 Illinois

Profile Details

NPI number 1104018225
LBN Legal business name Shahzad, Farooq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2007
Last updated Jun 26th, 2019 - about 7 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 1104018225 NPPES
North Dakota MEDICAID 16282

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