Provider Demographics
NPI:1568485084
Name:ANWAR, MUHAMMAD U (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:U
Last Name:ANWAR
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:PO BOX 9594
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60567-0594
Mailing Address - Country:US
Mailing Address - Phone:815-436-6814
Mailing Address - Fax:815-834-1942
Practice Address - Street 1:300 READ ST
Practice Address - Street 2:SUITE B
Practice Address - City:LOCKPORT
Practice Address - State:IL
Practice Address - Zip Code:60441-3265
Practice Address - Country:US
Practice Address - Phone:815-834-1903
Practice Address - Fax:815-834-1942
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL9928222OtherBC BS
ILG11629Medicare UPIN
IL9928222OtherBC BS