| Iyad A.kashow Md Ltd | |
|
710 Shoreline Dr Suite 102 Aurora IL 60504-6192 | |
| (630) 692-1280 | |
| (630) 692-1284 |
| Full Name | Iyad A.kashow Md Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 710 Shoreline Dr, Aurora, Illinois |
| Authorized Official Name and Position | Iyad A Kashow (OWNER) |
| Authorized Official Contact | 6306921280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iyad A.kashow Md Ltd 710 Shoreline Dr Suite 102 Aurora IL 60504-6192 Ph: (630) 692-1280 | Iyad A.kashow Md Ltd 710 Shoreline Dr Suite 102 Aurora IL 60504-6192 Ph: (630) 692-1280 |
| NPI Number | 1427186980 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 7214989003 |
|---|---|
| Medicare Enrollment ID | O20050221000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427186980 | NPI | - | NPPES |
| 036085249 | Other | IL | PHYSICIAN |
| 036085249 | Medicaid | IL | |
| 211055 | Other | IL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036085249 (Illinois) | Primary |
| Provider Name | Iyad A Kashow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174574396 PECOS PAC ID: 3375595168 Enrollment ID: I20050224000230 |
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