Provider Demographics
NPI:1225775182
Name:ANWAR, HAMZA (DO)
Entity Type:Individual
Prefix:
First Name:HAMZA
Middle Name:
Last Name:ANWAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1223 MONTEGO CT
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-7132
Mailing Address - Country:US
Mailing Address - Phone:224-616-0341
Mailing Address - Fax:
Practice Address - Street 1:1223 MONTEGO CT
Practice Address - Street 2:
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-7132
Practice Address - Country:US
Practice Address - Phone:224-616-0341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program