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Contact Information

HUZEFA Y GHADIALI, MD
8201 E RIVERSIDE BLVD
ROCKFORD, IL61114-2300
 Phone: 815-971-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for HUZEFA Y GHADIALI · (Male)

NPI # 1437398187
Status Active
Credentials MD
Entity Individual
Enumeration date 02/19/2009
Last updated 07/29/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-132811
  • MO License # 2012011171
  • WI License # 60298
  • WI Medicaid 1437398187
Hospital affiliation(s)
  • COPLEY MEMORIAL HOSPITAL - (Acute Care)
    2000 OGDEN AVENUE
    AURORA, IL 60504
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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