# ASHLAND MEDICAL SPECIALIST INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033455118
- **Authorized official:** DR. NEEMA BAYRAN M.D. (C.E.O.)
- **Authorized official phone:** (312) 624-9783

## Contact information

- **Practice address:** 2041 W DIVISION ST, CHICAGO, IL 60622-8521
- **Practice address phone:** (312) 624-9783
- **Practice address fax:** (312) 929-3323
- **Mailing address:** 2041 W DIVISION ST, CHICAGO, IL 60622-8521
- **Mailing address phone:** (312) 624-9783
- **Mailing address fax:** (312) 929-3323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 036103729 | IL | Yes |

## Other

- **Enumeration date:** 12/18/2012
- **Last updated:** 06/10/2025