Individual
DR. GAREN AZIZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5501 W BELMONT AVE, CHICAGO, IL 60641-4130
(773) 205-0106
Mailing address
5501 W BELMONT AVE, CHICAGO, IL 60641-4130
(773) 205-0106
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005982
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
07001401A
IN
390200000X
Student in an Organized Health Care Education/Training Program
135.001030
IL
Other
Enumeration date
04/20/2019
Last updated
08/15/2022
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