Individual
NILOOFAR GHAZIZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N LAKE SHORE DR, CHICAGO, IL 60611-5061
(773) 490-2125
Mailing address
600 N LAKE SHORE DR, CHICAGO, IL 60611-5061
(773) 490-2125
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
051289563
IL
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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