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NPI Code Detail

MEDICARE: ASHLEY PINAWIN M.D.

MEDICARE: ASHLEY PINAWIN M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207P00000XEmergency Medicine Physician036.143801IL

General Provider Information

NPI Number : 1376961862
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY PINAWIN M.D.
Provider Business Mailing Address
First Line : 800 BIESTERFIELD RD
Second Line :
City : ELK GROVE VLG
State : IL
Zip : 60007-3361
Country : US
Telephone Number : 815-543-9854
Fax Number :
Provider Business Practice Location Address
First Line : 800 BIESTERFIELD RD
Second Line :
City : ELK GROVE VLG
State : IL
Zip : 60007-3361
Country : US
Telephone Number : 847-347-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2014
Last Update Date : 07/21/2022

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