Provider Demographics
NPI:1447069166
Name:CAREY, AISHA (LE, PMUA)
Entity type:Individual
Prefix:MRS
First Name:AISHA
Middle Name:
Last Name:CAREY
Suffix:
Gender:F
Credentials:LE, PMUA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2138 N. SAWYER AVENUE PH 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647
Mailing Address - Country:US
Mailing Address - Phone:312-437-0065
Mailing Address - Fax:
Practice Address - Street 1:318 NORTH CARPENTER STREET, LOFT 21
Practice Address - Street 2:SALON LOFTS - WEST LOOP
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-1206
Practice Address - Country:US
Practice Address - Phone:312-437-0065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL131.020669246Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationGroup - Single Specialty