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DR. AYEZAH MIR M.D.
NPI 1740227388
Pediatrics in Shorewood, IL

Active since June 01, 2006
700 W JEFFERSON ST, SHOREWOOD, IL 60404(815) 514-2040(815) 741-2860 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2023, Dec 18, 2020 (2 updates tracked since 2020).

About Dr. Ayezah Mir M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AYEZAH MIR M.D. (NPI 1740227388) is an individual pediatrics provider in Shorewood, Illinois, licensed in Illinois (036-112854) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1740227388
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. AYEZAH MIRCredential: M.D.
Location Address700 W JEFFERSON STShorewood, IL 60404-7608
Mailing AddressPo Box 713260Chicago, IL 60677-1260 · (630) 469-9200
Phone(815) 514-2040
Fax(815) 741-2860
Sole ProprietorNo
Enumeration DateJune 1, 2006
Last NPPES UpdateAugust 16, 20232 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
✔ NPI 1740227388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036-112854
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
700 W JEFFERSON ST, Shorewood, IL 60404
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Other Identifiers 1

Medicaid036112854IL

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. REBECCA ANN HERBERT M.S., LAT, ATC
Specialist/Technologist (Athletic Trainer)
700 W JEFFERSON ST
SHOREWOOD, IL 60404
Will County (815) 725-1666
ACCELERATED REHABILITATION CENTERS, LTD
Physical Therapist
700 W JEFFERSON ST
SHOREWOOD, IL 60404
Will County (815) 725-1666
MS. LORI JONES CPNP
Nurse Practitioner (Pediatrics)
700 W JEFFERSON ST
SHOREWOOD, IL 60404
Will County (815) 741-2883
DUPAGE MEDICAL GROUP, LTD
Durable Medical Equipment & Medical Supplies
700 W JEFFERSON ST
SHOREWOOD, IL 60404
Will County (815) 741-2888
MATTHEW ROOT MD
Pediatrics
700 W JEFFERSON ST
SHOREWOOD, IL 60404
Will County (815) 514-2040
MRS. DEE A FOREMAN MSW, LSW
Social Worker (Clinical)
700 W JEFFERSON ST
SHOREWOOD, IL 60404
Will County (815) 741-2888
MRS. MARY MARGARET POE OTR/L
Occupational Therapist
700 W JEFFERSON ST
SHOREWOOD, IL 60404
Will County (815) 725-1666
CITY WIDE VILLAGE MATTRESS
Durable Medical Equipment & Medical Supplies (Customized Equipment)
700 W JEFFERSON ST, ROUTE 52
SHOREWOOD, IL 60404
Will County (815) 744-5212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ayezah Mir's NPI number?

The NPI number for Ayezah Mir is 1740227388. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Ayezah Mir located?

Ayezah Mir practices at 700 W Jefferson St, Shorewood, IL 60404. The listed phone number is (815) 514-2040.

What is Ayezah Mir's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Ayezah Mir was last updated on August 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.