ZAID HAQUE
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1861310542- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 611 W PARK ST, URBANA, IL, 618012529
- Phone
- (217) 383-3311
Specialties & Taxonomies
Unknown
Primary License: IL #125.089004
All Addresses
MAILING
611 W PARK ST
URBANA, IL, 618012529