MEDICARE: DR. AYAH ZEGAR 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
1	207L00000X	Anesthesiology Physician	036164124	IL
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	036164124	IL

General Provider Information

NPI Number	:	1487115523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AYAH ZEGAR M.D.

Provider Business Mailing Address
First Line	:	2650 RIDGE AVE.
Second Line	:	DEPARTMENT OF ANESTHESIA
City	:	EVANSTON
State	:	IL
Zip	:	60201
Country	:	US
Telephone Number	:	847-570-2760
Fax Number	:	847-570-2921

Provider Business Practice Location Address
First Line	:	2650 RIDGE AVE.
Second Line	:	DEPARTMENT OF ANESTHESIA
City	:	EVANSTON
State	:	IL
Zip	:	60201-1718
Country	:	US
Telephone Number	:	847-570-2760
Fax Number	:	847-570-2921

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

Provider Enumeration Date	:	03/30/2019
Last Update Date	:	04/30/2026

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