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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649583485 NPPES
Illinois MEDICAID 036-136910

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