Provider Demographics
NPI:1447416342
Name:ASGHAR, MUHAMMAD FAROOQ (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:FAROOQ
Last Name:ASGHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1404 CROSS ST STE 2114
Mailing Address - Street 2:
Mailing Address - City:SHILOH
Mailing Address - State:IL
Mailing Address - Zip Code:62269-2988
Mailing Address - Country:US
Mailing Address - Phone:618-233-2220
Mailing Address - Fax:618-233-2555
Practice Address - Street 1:1404 CROSS ST STE 2114
Practice Address - Street 2:
Practice Address - City:SHILOH
Practice Address - State:IL
Practice Address - Zip Code:62269-2988
Practice Address - Country:US
Practice Address - Phone:618-233-2220
Practice Address - Fax:618-233-2555
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036125732207RP1001X
IL036-125732207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036125732Medicaid
IL036125732Medicaid