Individual
DR. SHAHRIAR DADKHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7126 N LINCOLN AVE, LINCOLNWOOD, IL 60712-2234
(847) 583-9189
Mailing address
7126 N LINCOLN AVE, LINCOLNWOOD, IL 60712-2234
(847) 583-9189
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036082937
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360829937
—
IL
Enumeration date
05/28/2006
Last updated
01/24/2013
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