Provider Demographics
NPI:1043403884
Name:ASHWANI K. GARG, MD
Entity Type:Organization
Organization Name:ASHWANI K. GARG, MD
Other - Org Name:PERSONAL FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FAMILY PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHWANI
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:GARG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-994-5001
Mailing Address - Street 1:2200 W HIGGINS RD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2426
Mailing Address - Country:US
Mailing Address - Phone:847-994-5001
Mailing Address - Fax:847-882-1905
Practice Address - Street 1:2200 W HIGGINS RD
Practice Address - Street 2:SUITE 225
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2426
Practice Address - Country:US
Practice Address - Phone:847-994-5001
Practice Address - Fax:847-882-1905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036108096207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2213529OtherFIRST HEALTH
IL7550278OtherCIGNA
IL1633858OtherBCBSIL
IL21244725985OtherBEECH STREET
IL7090488OtherAETNA
5483195OtherCCN
IL1633858OtherBCBSIL
IL2213529OtherFIRST HEALTH
IL1633858OtherBCBSIL
ILK08593Medicare PIN