Provider Demographics
NPI:1821035742
Name:ANWARZAI, DAUD RIAZ (DC)
Entity Type:Individual
Prefix:DR
First Name:DAUD
Middle Name:RIAZ
Last Name:ANWARZAI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:401 S MILWAUKEE AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-5079
Mailing Address - Country:US
Mailing Address - Phone:317-985-7005
Mailing Address - Fax:847-297-2096
Practice Address - Street 1:401 S MILWAUKEE AVE
Practice Address - Street 2:STE 100
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-5079
Practice Address - Country:US
Practice Address - Phone:847-297-2225
Practice Address - Fax:847-297-2096
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-31
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010611111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor