# A REZVAN MD SC AND ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578639498
- **Authorized official:** DR. ABDOLMAJID T REZVAN M.D. (M.D.)
- **Authorized official phone:** (773) 235-0800

## Contact information

- **Practice address:** 1921 N HARLEM AVE, SUITE 106, CHICAGO, IL 60707-3740
- **Practice address phone:** (773) 235-0800
- **Practice address fax:** (847) 657-1622
- **Mailing address:** 1921 N HARLEM AVE, SUITE 106, CHICAGO, IL 60707-3740
- **Mailing address phone:** (773) 235-0800
- **Mailing address fax:** (847) 657-1622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | IL | Yes |

## Other

- **Enumeration date:** 11/24/2006
- **Last updated:** 08/22/2020