Individual provider · NPI-1
Dr. Ayesha Abbasi, MD
Internal Medicine · Chicago, IL
NPI number1376216705
StatusActive
Last updated in NPPESJul 30, 2021
Details
- NPI
- 1376216705
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ayesha Abbasi
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2021
- Certification date
- Jul 30, 2021
- Last updated
- Jul 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 125077685 | IL | Yes |
Practice location
1901 W Harrison StChicago, IL 60612-3714
Phone 312-864-6000
Mailing address
1901 W Harrison StChicago, IL 60612-3714
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