HUSSIEN M FARRAG

ROCKFORD, IL
NPI1811070923
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics Neonatal-Perinatal Medicine
(Licence: IL  036-144594)
Additional Taxonomies2080N0001X Pediatrics Neonatal-Perinatal Medicine
(Licence: MA  76111)
Enumeration Date2006-10-23
Last Update Date2018-03-17
Business Address
HUSSIEN M FARRAG MD
1401 E STATE ST
ROCKFORD, IL 61104-2315
Phone number: 779-696-4400
Mailing Address
HUSSIEN M FARRAG MD
PO BOX 1567
ROCKFORD, IL 61110-0067
Phone number: