Azhar Aslam Md Llc, NPI 1174628572
Otolaryngology/Facial Plastic Surgery Physician in Decatur, IL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1174628572
NPI Entity Type Organization
Provider Name Azhar Aslam Md Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1770 E Lake Shore Dr, Suite 103, Decatur, IL, US
Provider Mailing Address 1770 E Lake Shore Dr, Suite 103, Decatur, IL, US, 625213832
Is Sole Proprietor? No
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Organization Official

Official Name DR. MD Azhar Aslam
Official Position OWNER
Phone 217-422-9036

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207YX0905X

Taxonomy Name Otolaryngology/Facial Plastic Surgery Physician
Classification

Otolaryngology

Group

Allopathic & Osteopathic Physicians

License No. 036-108233
License State IL
Description An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Business Address

Azhar Aslam Md Llc
1770 E Lake Shore Dr
Suite 103

Decatur, IL, US

Phone: 217-422-9036
Fax: 217-422-9812

Mailing Address

Azhar Aslam Md Llc
1770 E Lake Shore Dr
Suite 103
Decatur, IL, US
ZIP 625213832
Phone: 217-422-9036
Fax: 217-422-9812

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0006113660001 PA MEDICAID 05
0006113660001 NY MEDICAID 05
AS867969 PA BCBS 01

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