Ansal, Ashish Mani

Ansal, Ashish Mani is an individual health care provider with primary practice located at 2045 W. Washington Blvd , Chicago IL 60612-2428. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ansal, Ashish Mani can be contacted via phone (312) 996-2000.

Contact Information

Primary practice address
2045 W. Washington Blvd Chicago IL 60612-2428
Phone: (312) 996-2000
Fax: (312) 413-7812
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.130215 Illinois

Profile Details

NPI number 1962646687
LBN Legal business name Ansal, Ashish Mani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2009
Last updated Oct 12th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962646687 NPPES
Illinois MEDICAID 036.130215

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