MUDASSAR KHAN SANDOZI

ROCKFORD, IL
NPI1861071490
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125.077873)
Enumeration Date2021-04-02
Last Update Date2022-02-17
Business Address
MUDASSAR KHAN SANDOZI DO
5970 CHURCHVIEW DR
ROCKFORD, IL 61107-2574
Phone number: 815-971-8990
Mailing Address
MUDASSAR KHAN SANDOZI DO
5970 CHURCHVIEW DR
ROCKFORD, IL 61107-2574
Phone number: 815-971-8990