Provider Demographics
NPI:1467690370
Name:ASRA HEALTH CARE LTD
Entity Type:Organization
Organization Name:ASRA HEALTH CARE LTD
Other - Org Name:ISSAN HEALLTH CARE, LTD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAZEER
Authorized Official - Middle Name:U
Authorized Official - Last Name:SHAIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-744-7400
Mailing Address - Street 1:2121 WEST ONEIDA STREET
Mailing Address - Street 2:SUITE 003
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435
Mailing Address - Country:US
Mailing Address - Phone:815-744-7400
Mailing Address - Fax:815-744-7435
Practice Address - Street 1:2121 ONEIDA ST
Practice Address - Street 2:SUITE 003
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-6544
Practice Address - Country:US
Practice Address - Phone:815-744-7400
Practice Address - Fax:815-744-7435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36085250207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL36-085250Medicaid
IL36-085250Medicaid