Individual
DR. SEPIDEH ASADBEIGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST STE 1600, CHICAGO, IL 60611-2997
(312) 695-3721
Mailing address
940 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5020
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
125077103
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
33013
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125077103
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
01
—
33013
OKLAHOMA STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION
OK
Enumeration date
05/30/2017
Last updated
07/02/2020
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