# AZHAR ASLAM MD LLC

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

## Provider details

- **NPI number:** 1174628572
- **Authorized official:** DR. AZHAR ASLAM MD (OWNER)
- **Authorized official phone:** (217) 422-9036

## Contact information

- **Practice address:** 1770 E LAKE SHORE DR, SUITE 103, DECATUR, IL 62521-3832
- **Practice address phone:** (217) 422-9036
- **Practice address fax:** (217) 422-9812
- **Mailing address:** 1770 E LAKE SHORE DR, SUITE 103, DECATUR, IL 62521-3832
- **Mailing address phone:** (217) 422-9036
- **Mailing address fax:** (217) 422-9812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 036-108233 | IL | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 05/07/2015