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NPI Code Detail

MEDICARE: KAWTHAR ASHOUR

MEDICARE: KAWTHAR ASHOUR
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
1106S00000XBehavior TechnicianIL

General Provider Information

NPI Number : 1306621800
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAWTHAR ASHOUR
Provider Business Mailing Address
First Line : 1111 N DEARBORN ST APT 1804
Second Line :
City : CHICAGO
State : IL
Zip : 60610-7167
Country : US
Telephone Number : 773-569-8858
Fax Number :
Provider Business Practice Location Address
First Line : 1111 N DEARBORN ST APT 1804
Second Line :
City : CHICAGO
State : IL
Zip : 60610-7167
Country : US
Telephone Number : 773-569-8858
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2023
Last Update Date : 08/31/2023

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Directions to “ KAWTHAR ASHOUR ” Practice Location

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