Ansari, Asma Rafeeq
Ansari, Asma Rafeeq is an individual health care provider with primary practice located at 159 S Bloomingdale Rd , Bloomingdale IL 60108-1434. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Ansari, Asma Rafeeq can be contacted via phone (630) 529-5950.Contact Information
Primary practice address
159 S Bloomingdale Rd
Bloomingdale IL 60108-1434
Phone: (630) 529-5950
Fax: (630) 529-6286
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036122782 | Illinois |
Profile Details
NPI number | 1114045812 |
---|---|
LBN Legal business name | Ansari, Asma Rafeeq |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 27th, 2007 |
Last updated | Feb 4th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114045812 | NPPES |
Illinois | Other | 336084349 | CONTROLLED SUBSTANCE LICENSE |
Illinois | Other | 35.122131 | CONTROLLED SUBSTANCE LICENSE |
Illinois | Other | 036122782 | CONTROLLED SUBSTANCE LICENSE |
Illinois | Other | P00906492 | CONTROLLED SUBSTANCE LICENSE |
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