Provider Demographics
NPI:1366438665
Name:HAFIZ, IRFAN N (MD)
Entity type:Individual
Prefix:DR
First Name:IRFAN
Middle Name:N
Last Name:HAFIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10350 HALIGUS RD STE 200D
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-9545
Mailing Address - Country:US
Mailing Address - Phone:847-802-7280
Mailing Address - Fax:847-802-7275
Practice Address - Street 1:10350 HALIGUS RD STE 200D
Practice Address - Street 2:
Practice Address - City:HUNTLEY
Practice Address - State:IL
Practice Address - Zip Code:60142-9545
Practice Address - Country:US
Practice Address - Phone:847-802-7280
Practice Address - Fax:847-802-7275
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-088772207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201020880Medicaid
IL036-088-772Medicaid
IL036-088-772Medicaid
IN201020880Medicaid
ILL61925Medicare PIN
ILG51646Medicare UPIN