Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 036058379 | IL |
N | 207VE0102X | Reproductive Endocrinologist | 036058379 | IL |
NPI | 1043287691 |
---|---|
Provider Name | Jaafar Afshar |
First Address | La Grange Highlands, IL 60525-6537 |
Second Address | La Grange Highlands, IL 60525-6537 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2006 |
Last Update Date | 28/10/2020 |