Organization
MORTEZA MOHAJER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORTEZA MOHAJER M.D. (PSYCHIATRIST)
(773) 883-0200
Entity
Organization
Contact information
Practice address
938 W NELSON ST, FIRST FLOOR, CHICAGO, IL 60657-6704
(773) 883-0200
(773) 883-0090
Mailing address
3150 N LAKE SHORE DR, UNIT 31 B, CHICAGO, IL 60657-4810
(773) 883-0200
(773) 883-0090
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036053496
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054276
—
IL
Enumeration date
04/13/2012
Last updated
04/13/2012
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