MEDICARE: DR. SALWA F ASAAD MD

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	2085R0001X	Radiation Oncology Physician	036060563	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	920005613	OTHER	IL	RR MEDICARE M&K RAD
3	300027716	OTHER	IL	RR MEDICARE RAD ONC KANKA
4	300034898	OTHER	IL	RR MEDICARE JOLIET RAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831170539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SALWA F ASAAD MD

Provider Business Mailing Address
First Line	:	PO BOX 379
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60462-0379
Country	:	US
Telephone Number	:	708-460-9836
Fax Number	:	708-460-1117

Provider Business Practice Location Address
First Line	:	1301 COPPERFIELD AVE
Second Line	:	SUITE 116
City	:	JOLIET
State	:	IL
Zip	:	60432-2054
Country	:	US
Telephone Number	:	815-722-1818
Fax Number	:	815-722-2533

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

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	07/23/2010

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Directions to “ DR. SALWA F ASAAD MD” Practice Location

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