Individual
DR. IYAD A KASHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 SHORELINE DR, SUITE 102, AURORA, IL 60504-6192
(630) 692-1280
(630) 692-1284
Mailing address
710 SHORELINE DR, SUITE 102, AURORA, IL 60504-6192
(630) 692-1280
(630) 692-1284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036085249
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036085249
PHYSICIAN
IL
05
—
036085249
—
IL
01
—
211055
MEDICARE PTAN
IL
01
—
336047430
CONTROLLED SUBSTANCE
IL
Enumeration date
05/12/2006
Last updated
03/07/2023
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