Individual
DR. AYESHA IMRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3001 GREEN BAY RD BLDG 71F, NORTH CHICAGO, IL 60064-3048
(224) 610-3365
(224) 610-3852
Mailing address
3001 GREEN BAY RD BLDG 71F, NORTH CHICAGO, IL 60064-3048
(224) 610-3365
(224) 610-3852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036099338
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036099338
IL
Other
Enumeration date
12/14/2006
Last updated
06/25/2021
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