# RAMIN GHAZIZADEH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ramin Ghazizadeh DPM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366083032
- **Authorized official:** RAMIN GHAZIZADEH DPM (OWNER/CEO)
- **Authorized official phone:** (312) 330-4574

## Contact information

- **Practice address:** 231 MAIN ST, PARK FOREST, IL 60466-2097
- **Practice address phone:** (708) 748-3338
- **Practice address fax:** (708) 748-4332
- **Mailing address:** 231 MAIN ST, PARK FOREST, IL 60466-2097
- **Mailing address phone:** (708) 748-3338
- **Mailing address fax:** (708) 748-4332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/03/2019
- **Last updated:** 05/01/2023