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Individual
B FLORIAN MIRANZADEH
Active
Individual
B FLORIAN MIRANZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036100398
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01629934
BCBS PROVIDER ID
IL
05
—
036100398
—
IL
01
—
080171110
RAILROAD MEDICARE
IL
01
—
4010133
ADVOCATE IL MASONIC
IL
Enumeration date
09/20/2005
Last updated
08/19/2025
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