MEDICARE: NOR QASHMER

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	363A00000X	Physician Assistant	085.011803	IL
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1790479046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOR QASHMER

Provider Business Mailing Address
First Line	:	421 E MARKET ST APT 321
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-2864
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	421 E MARKET ST APT 321
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-2864
Country	:	US
Telephone Number	:	708-415-3014
Fax Number	:

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

Provider Enumeration Date	:	06/07/2023
Last Update Date	:	03/25/2026

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Directions to “ NOR QASHMER ” Practice Location

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