Individual
AMIR K SEPAHDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5145 N CALIFORNIA AVENUE, SWEDISH COVENANT HOSPITAL, CHICAGO, IL 60625
(773) 989-3814
(773) 989-6230
Mailing address
1895 ADMIRAL CT, GLENVIEW, IL 60026-8055
(847) 724-2708
(773) 989-6230
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036105387
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105387
—
IL
Enumeration date
11/03/2006
Last updated
02/19/2025
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