# AVICENNA PRIMARY CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1588152748
- **Authorized official:** YASMIN KAGZI MD (MD)
- **Authorized official phone:** (630) 229-4633

## Contact information

- **Practice address:** 1S450 SUMMIT AVE STE 390, OAKBROOK TERRACE, IL 60181-3976
- **Practice address phone:** (630) 229-4633
- **Mailing address:** 233 CIMARRON RD W, LOMBARD, IL 60148-1494
- **Mailing address phone:** (630) 229-4633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036.129037 | IL | Yes |

## Other

- **Enumeration date:** 04/24/2018
- **Last updated:** 04/24/2018