Azar, Aline
Azar, Aline is an individual health care provider with primary practice located at 1120 E War Memorial Drive , Peoria Heights IL 61616. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Azar, Aline can be contacted via phone (888) 220-6432.Contact Information
Primary practice address
1120 E War Memorial Drive
Peoria Heights IL 61616
Phone: (888) 220-6432
Fax: (630) 734-4715
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 036136910 | Illinois |
Profile Details
NPI number | 1649583485 |
---|---|
LBN Legal business name | Azar, Aline |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 22nd, 2010 |
Last updated | Jul 18th, 2015 - about 10 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 | 1649583485 | NPPES |
Illinois | MEDICAID | 036-136910 |
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