Derweesh, Ithaar

Derweesh, Ithaar is an individual health care provider with primary practice located at 1725 W Harrison St Ste 970 , Chicago IL 60612-3828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Derweesh, Ithaar can be contacted via phone (312) 563-3447.

Contact Information

Primary practice address
1725 W Harrison St Ste 970 Chicago IL 60612-3828
Phone: (312) 563-3447
Fax: (312) 563-3721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036.176621 Illinois

Profile Details

NPI number 1003873720
LBN Legal business name Derweesh, Ithaar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Feb 16th, 2026 - about 8 months 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 1003873720 NPPES
Tennessee MEDICAID 3332625

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