Individual
FNU AYESHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 E SIBLEY BLVD, DOLTON, IL 60419-2599
(708) 340-7400
Mailing address
600 E SIBLEY BLVD, DOLTON, IL 60419-2599
(708) 340-7400
(708) 340-7140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036170176
IL
Other
Enumeration date
07/13/2021
Last updated
05/22/2024
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