Sidra Ilyas, M.D.
Internal Medicine in Springfield, IL. Individual provider (NPI-1).
NPI number1801322136
StatusActive
Last updated in NPPESOct 13, 2021
Details
- NPI
- 1801322136
- Entity type
- Individual (NPI-1)
- Name
- Sidra Ilyas
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 5, 2017
- Certification date
- Oct 13, 2021
- Last updated
- Oct 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 036157976 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
751 N Rutledge St Ste 1100Springfield, IL 62702-4968
Phone 217-545-8000
Mailing address
201 E Madison St Ste 328Springfield, IL 62702-5131
Phone 217-545-8000
Other practice locations
4201 Saint Antoine St Rm 2e
Detroit, MI 48201-2153
Detroit, MI 48201-2153
Phone 718-915-1758
400 N 9th St Fl 4
Springfield, IL 62702-5310
Springfield, IL 62702-5310
Phone 217-545-8000
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