Provider Demographics
NPI:1841289691
Name:TOOR, MOHAMMAD ASHRAF (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:ASHRAF
Last Name:TOOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1890 SILVER CROSS BLVD
Mailing Address - Street 2:STE 320
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-9508
Mailing Address - Country:US
Mailing Address - Phone:815-722-8106
Mailing Address - Fax:815-717-8771
Practice Address - Street 1:1890 SILVER CROSS BLVD
Practice Address - Street 2:STE 320
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-9508
Practice Address - Country:US
Practice Address - Phone:815-722-8106
Practice Address - Fax:815-717-8771
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-14
Last Update Date:2023-03-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL3650737207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036050737Medicaid
IL247190Medicare UPIN
D10237Medicare UPIN
IL036050737Medicaid
D10237Medicare PIN