Individual
KAMRAN AYUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9921 SOUTHWEST HWY, OAK LAWN, IL 60453
(708) 499-5678
(708) 499-5685
Mailing address
9921 SOUTHWEST HIGHWAY, OAK LAWN, IL 60453
(708) 499-5678
(708) 499-5685
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036119910
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039580
LABOR & INDUSTRY
WA
05
—
036119910
—
IL
01
—
1622260
BCBS IL
IL
01
—
7473AY
BLUE SHIELD
WA
05
—
8291247
—
WA
01
—
CI2250
RRM GROUP PTAN
IL
01
—
P00126611
RAILROAD MEDICARE
—
01
—
P00609731
RRM GROUP
IL
01
—
US7184341
AETNA/USHC SPECIALIST
WA
Enumeration date
08/23/2006
Last updated
01/27/2009
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