FADEL AHMED BOFARRAG

SPRINGFIELD, IL
NPI1003291279
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IL  036.170263)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MO  2015014044)
207R00000X Internal Medicine
(Licence: MA  276951)
208M00000X Hospitalist
(Licence: MA  276951)
Enumeration Date2015-07-29
Last Update Date2024-06-06
Business Address
FADEL AHMED BOFARRAG MD, MPH
701 N 1ST ST STE D434
SPRINGFIELD, IL 62702-3757
Phone number: 217-545-8000
Mailing Address
FADEL AHMED BOFARRAG MD, MPH
PO BOX 19636
SPRINGFIELD, IL 62794-9636
Phone number: 217-545-8000