Provider Demographics
NPI:1639873151
Name:GAUR, AASNA (DO)
Entity Type:Individual
Prefix:DR
First Name:AASNA
Middle Name:
Last Name:GAUR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 PEPPERWOOD LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60139-1736
Mailing Address - Country:US
Mailing Address - Phone:630-540-6720
Mailing Address - Fax:
Practice Address - Street 1:900 MAIN STREET
Practice Address - Street 2:SUITE 720
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61602-5027
Practice Address - Country:US
Practice Address - Phone:309-671-8308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program