Provider Demographics
NPI:1215499777
Name:IKRAM, MASHAAL F (MD)
Entity type:Individual
Prefix:
First Name:MASHAAL
Middle Name:F
Last Name:IKRAM
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Gender:
Credentials:MD
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Mailing Address - Street 1:2650 RIDGE AVE
Mailing Address - Street 2:SUITE 1304
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201
Mailing Address - Country:US
Mailing Address - Phone:847-570-1485
Mailing Address - Fax:847-733-5740
Practice Address - Street 1:2650 RIDGE AVE -EVANSTON HOSPITAL
Practice Address - Street 2:SUITE 1304
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201
Practice Address - Country:US
Practice Address - Phone:847-570-2000
Practice Address - Fax:847-570-5240
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2025-03-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA200284207RC0000X
IL125.074233207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease