MEDICARE: ASSEMGUL AUBAKIROVA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085U0001X	Diagnostic Ultrasound Physician	245430	IL

General Provider Information

NPI Number	:	1154090843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASSEMGUL AUBAKIROVA

Provider Business Mailing Address
First Line	:	325 N MILWAUKEE AVE STE B
Second Line	:
City	:	WHEELING
State	:	IL
Zip	:	60090-3071
Country	:	US
Telephone Number	:	773-573-0469
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 N MILWAUKEE AVE STE B
Second Line	:
City	:	WHEELING
State	:	IL
Zip	:	60090-3071
Country	:	US
Telephone Number	:	773-573-0469
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2021
Last Update Date	:	09/07/2021

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Directions to “ ASSEMGUL AUBAKIROVA ” Practice Location

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