Organization
KOUROSH DINI MD LTD
Active
Other names
Kourosh Dini MD LTD
Organization subpart
No
Provider details
NPI number
Authorized official
KOUROSH DINI MD (PRESIDENT)
(312) 391-3171
Entity
Organization
Contact information
Practice address
1020 S WABASH AVE APT 4G, CHICAGO, IL 60605-2255
(312) 391-3171
Mailing address
1020 S WABASH AVE APT 4G, CHICAGO, IL 60605-2255
(312) 391-3171
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036107898
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016 35637
BC/BSIL
IL
05
—
0361048981
—
IL
Enumeration date
11/17/2008
Last updated
12/03/2024
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