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Wasiya Farooqui
NPI 1619593464 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2335 W Fullerton Ave Ste B
Chicago, IL 60647 - Phone
- (815) 603-5852
- Organisation at this address
- Advanced Dental
Gold Coast Anesthesia PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois