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Individual

ASHRAF ABDURRAZAGH BAESHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-7000
Mailing address
29624 NETWORK PL, CHICAGO, IL 60673-1296
(608) 756-6278

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R-8826
IA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036140680
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
87
WI

Other

Enumeration date
05/26/2010
Last updated
04/14/2026
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