Provider Demographics
NPI:1720136013
Name:MUASHER, ISSA E (MD)
Entity Type:Individual
Prefix:
First Name:ISSA
Middle Name:E
Last Name:MUASHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 64568
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85082-4568
Mailing Address - Country:US
Mailing Address - Phone:630-288-6237
Mailing Address - Fax:855-781-4084
Practice Address - Street 1:950 N YORK RD
Practice Address - Street 2:SUITE 104
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-2950
Practice Address - Country:US
Practice Address - Phone:630-920-8501
Practice Address - Fax:630-920-8701
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036048777208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036048777Medicaid
IL02222703OtherBCBS PROVIDER ID
IL9150272OtherADVOCATE HLTH PARTNERS ID
IL780001306OtherRAILROAD MEDICARE
ILK14099Medicare PIN