Mir, Ayezah
Mir, Ayezah is an individual health care provider with primary practice located at 700 W Jefferson St , Shorewood IL 60404-7608. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mir, Ayezah can be contacted via phone (815) 514-2040.Contact Information
Primary practice address
700 W Jefferson St
Shorewood IL 60404-7608
Phone: (815) 514-2040
Fax: (815) 741-2860
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-112854 | Illinois |
Profile Details
NPI number | 1740227388 |
---|---|
LBN Legal business name | Mir, Ayezah |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 1st, 2006 |
Last updated | Aug 16th, 2023 - about last year |
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 | 1740227388 | NPPES |
Illinois | MEDICAID | 036112854 |
Popular Providers
-
Bierma, Douglas Ray
700 W Jefferson St , Shorewood IL 60431-7608 -
Jewell-Mahler, Victoria
1600 Coraopolis Heights Rd Ste E, Moon Twp PA 15108-4316 -
Sayat, Jonathan G
555 S Floyd St , Louisville KY 40202-3822 -
Murphy, Bernadette M.
3650 Joseph Siewick Dr Ste 101, Fairfax VA 22033-1700 -
Mabry, Robert Timothy
2501 Kentucky Ave , Paducah KY 42003-3813 -
Shook, Josh
2033 Meadowview Ln Ste 200, Kingsport TN 37660-7569 -
Mclean, Ellen B.
4224 Houma Blvd Ste 240, Metairie LA 70006-2935 -
Root, Matthew
700 W Jefferson St , Shorewood IL 60404-7608