Individual
AYESHA FAREEDUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2650 RIDGE AVE STE 4210, EVANSTON, IL 60201
(847) 570-1010
(847) 733-5108
Mailing address
2650 RIDGE AVE STE 4210, EVANSTON, IL 60201-1700
(847) 570-1010
(847) 733-5108
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036112672
IL
208M00000X
Hospitalist Physician
Primary
036112672
IL
Other
Enumeration date
07/11/2006
Last updated
10/14/2019
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