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Contact Information

BAROUKH RADFAR, MD
16264 PRINCE DR
SOUTH HOLLAND, IL60473
 Phone: 708-331-2040
 Fax: 708-331-9755
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BAROUKH RADFAR · (Male)

NPI # 1528131018
Status Active
Credentials MD
Entity Individual
Enumeration date 11/15/2006
Last updated 09/28/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036047059
  • IL Medicaid 036047059
Hospital affiliation(s) Not Available
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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