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NPI Code Detail

MEDICARE: DR. AYMAN NASIR M.D

MEDICARE: DR. AYMAN NASIR 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
1207R00000XInternal Medicine PhysicianMD-48687IA
2207R00000XInternal Medicine Physician036175087IL
3208M00000XHospitalist Physician036175087IL

General Provider Information

NPI Number : 1629503362
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AYMAN NASIR M.D
Provider Business Mailing Address
First Line : 2650 RIDGE AVE STE 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-570-2040
Fax Number : 847-733-5315
Provider Business Practice Location Address
First Line : 5145 N CALIFORNIA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-3661
Country : US
Telephone Number : 847-570-1027
Fax Number : 773-989-1734
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2017
Last Update Date : 02/09/2026

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