Provider Demographics
NPI:1437805421
Name:LOKHANDWALA, AFZAL (DO)
Entity Type:Individual
Prefix:
First Name:AFZAL
Middle Name:
Last Name:LOKHANDWALA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:AFZAL
Other - Middle Name:
Other - Last Name:LOKHANDWALA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-0037
Mailing Address - Country:US
Mailing Address - Phone:630-664-6048
Mailing Address - Fax:
Practice Address - Street 1:2201 W HOWARD ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-1908
Practice Address - Country:US
Practice Address - Phone:630-664-6048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILL25300960244172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver