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1154673879
OMMAR AFZAL
URBANA, IL
NPI
1154673879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036137389)
Enumeration Date
2012-10-04
Last Update Date
2015-10-08
Business Address
-- OMMAR AFZAL M.D.
611 W PARK ST CARLE FORUM LOWER LEVEL
URBANA, IL 61801-2500
Phone number: 217-383-3110
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Mailing Address
-- OMMAR AFZAL M.D.
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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