Dr. Ishrat Ali Mirza, M.D.
Family Medicine in Aurora, IL. Individual provider (NPI-1).
NPI number1821290164
StatusActive
Last updated in NPPESMar 31, 2021
Details
- NPI
- 1821290164
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ishrat Ali Mirza
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 31, 2007
- Certification date
- Mar 31, 2021
- Last updated
- Mar 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036127593 | IL | Yes |
Practice location
2635 Church Rd Ste 101Aurora, IL 60502-8943
Phone 630-315-6900 · Fax 630-315-6919
Mailing address
2635 Church Rd Ste 101Aurora, IL 60502-8943
Phone 630-315-6900 · Fax 630-315-6919
Other practice locations
808 Rickert Dr Ste 103
Naperville, IL 60540-0908
Naperville, IL 60540-0908
Phone 331-551-5854
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