Provider Demographics
NPI:1609994441
Name:GAROON, IRA (MD)
Entity Type:Individual
Prefix:DR
First Name:IRA
Middle Name:
Last Name:GAROON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9301 GOLF RD
Mailing Address - Street 2:SUITE #102
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-1667
Mailing Address - Country:US
Mailing Address - Phone:847-294-0080
Mailing Address - Fax:847-294-0193
Practice Address - Street 1:9301 GOLF RD
Practice Address - Street 2:SUITE #102
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-1667
Practice Address - Country:US
Practice Address - Phone:847-294-0080
Practice Address - Fax:847-294-0193
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILB73824Medicare UPIN
IL686683Medicare ID - Type Unspecified
IL686684Medicare ID - Type Unspecified