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Contact Information

ASMA R ANSARI, MD
159 S BLOOMINGDALE RD
BLOOMINGDALE, IL60108-1434
 Phone: 630-529-5950
 Fax: 630-529-6286
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ASMA R ANSARI · (Female)

NPI # 1114045812
Status Active
Credentials MD
Entity Individual
Enumeration date 03/27/2007
Last updated 02/04/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036122782
  • IL Other 336084349 CONTROLLED SUBSTANCE LICENSE
  • IL Other 036122782 MEDICAL LICENSE NUMBER
  • IL Other P00906492 RAILROAD MEDICARE
  • OH Other 35.122131 MEDICAL LICENSE
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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