Organization
TARANEH S FIROOZI MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARANEH SAHIHI FIROOZI MD (OWNER DERMATOLOGIST)
(773) 736-6999
Entity
Organization
Contact information
Practice address
5600 W ADDISON ST, SUITE 203, CHICAGO, IL 60634
(773) 736-6999
(773) 736-2643
Mailing address
5600 W ADDISON ST, SUITE 203, CHICAGO, IL 60634
(773) 736-6999
(773) 736-2643
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
36045349
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036045349
—
IL
Enumeration date
12/26/2007
Last updated
07/29/2008
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