Individual
DR. ITHAAR DERWEESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON ST STE 970, CHICAGO, IL 60612-3828
(312) 563-3447
(312) 563-3721
Mailing address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036.176621
IL
208800000X
Urology Physician
Primary
C53383
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3332625
—
TN
Enumeration date
04/27/2006
Last updated
02/16/2026
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