Saleh Aiyash, MD

Individual provider Active NPI Surgery Physician · Maywood, IL

NPI 1447711478 · NPPES record last updated Jun 13, 2019

Key facts

NPI
1447711478
Entity type
Individual (NPI type 1)
Primary specialty
Surgery Physician 208600000X
License
125.073962 (IL)
Practice address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone
(630) 392-3115
NPI assigned
Mar 31, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125.073962ILMDSurgery Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 125.073962 IL Yes

Addresses

Primary practice location

2160 S 1St Ave
Maywood, IL 60153-3328

Mailing address

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (630) 392-3115

Other providers in Maywood, IL

All providers in Maywood, IL · Surgery Physician in Illinois

Sources for this page

Verify at the official NPI Registry.