Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | A86034 | CA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 036.122339 | IL |
NPI | 1912026238 |
---|---|
Provider Name | Dr. Mir Jafer Ali Joffrey |
First Address | Schaumburg, IL 60173-5121 |
Second Address | Schaumburg, IL 60173-5906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 18/04/2016 |