Individual
SHAYAN KHAZAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5115 N FRANCISCO AVE, CHICAGO, IL 60625-3611
(847) 982-6710
Mailing address
4901 SEARLE PKWY STE 150, SKOKIE, IL 60077-5320
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036150538
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036150538
STATE LICENSE
IL
Enumeration date
04/15/2015
Last updated
06/12/2025
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