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Organization
ABDOL HOSSEINIAN MD
Active
Organization
ABDOL HOSSEINIAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDOL HOSSEINIAN (PRESIDENT)
(773) 404-0160
Entity
Organization
Contact information
Practice address
4250 N MARINE DR, SUITE 236, CHICAGO, IL 60613-1744
(773) 404-0160
(773) 404-9876
Mailing address
4250 N MARINE DR, SUITE 236, CHICAGO, IL 60613-1744
(773) 404-0160
(773) 404-9876
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0360440385
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036044385
—
IL
Enumeration date
10/05/2009
Last updated
10/05/2009
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