Individual
DR. ASLAM EJAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-6676
Mailing address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-6765
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036133247
IL
2086X0206X
Surgical Oncology Physician
Primary
036133247
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0322410
—
OH
Enumeration date
03/22/2010
Last updated
04/14/2025
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