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1752 Windsor Rd Suite 202 Loves Park IL 61111-4280 | |
| (815) 282-9881 | |
| (815) 282-9891 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1752 Windsor Rd, Loves Park, Illinois |
| Authorized Official Name and Position | Javaid Iqbal (OWNER/DOCTOR) |
| Authorized Official Contact | 8152829881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2189 Loves Park IL 61130-0189 Ph: (815) 282-9881 | 1752 Windsor Rd Suite 202 Loves Park IL 61111-4280 Ph: (815) 282-9881 |
| NPI Number | 1164601282 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 10/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164601282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Illinois) | Primary |
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