Individual
DR. GHAZALEH ROSTAMI NIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9650 GROSS POINT RD STE 3900, SKOKIE, IL 60076-5085
(224) 251-2374
(847) 933-3531
Mailing address
2650 RIDGE AVENUE WALGREEN BUILDING, SUITE 1507, EVANSTON, IL 60201
(847) 434-9728
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
0116026700
VA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
036.142490
IL
390200000X
Student in an Organized Health Care Education/Training Program
0116026700
VA
Other
Enumeration date
05/27/2014
Last updated
03/20/2025
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