Individual
TAHMINEH ABBASIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
430 PENNSYLVANIA AVE, GLEN ELLYN, IL 60137-4464
(630) 469-9200
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036064496
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064496
—
IL
01
—
370005588
RR MEDICARE
IL
Enumeration date
08/10/2005
Last updated
01/20/2011
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