Ansari, Asma Rafeeq

Ansari, Asma Rafeeq is an individual health care provider with primary practice located at 159 S Bloomingdale Rd , Bloomingdale IL 60108-1434. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Ansari, Asma Rafeeq can be contacted via phone (630) 529-5950.

Contact Information

Primary practice address
159 S Bloomingdale Rd Bloomingdale IL 60108-1434
Phone: (630) 529-5950
Fax: (630) 529-6286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036122782 Illinois

Profile Details

NPI number 1114045812
LBN Legal business name Ansari, Asma Rafeeq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Feb 4th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114045812 NPPES
Illinois Other 336084349 CONTROLLED SUBSTANCE LICENSE
Illinois Other 35.122131 CONTROLLED SUBSTANCE LICENSE
Illinois Other 036122782 CONTROLLED SUBSTANCE LICENSE
Illinois Other P00906492 CONTROLLED SUBSTANCE LICENSE

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