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710 Shoreline Dr Suite 102 Aurora IL 60504-6192 | |
| (630) 692-1280 | |
| (630) 692-1284 |
| Full Name | |
|---|---|
| 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 | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
710 Shoreline Dr Suite 102 Aurora IL 60504-6192 Ph: (630) 692-1280 | 710 Shoreline Dr Suite 102 Aurora IL 60504-6192 Ph: (630) 692-1280 |
| NPI Number | 1104947951 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 03/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104947951 | NPI | - | NPPES |
| BK7447332 | Other | IL | CONT SUB |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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