Individual
DR. KAVEH ZAMANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
405 N WABASH AVE, SUITE #4507, CHICAGO, IL 60611-3591
(312) 822-3500
Mailing address
405 N WABASH AVE, SUITE #4507, CHICAGO, IL 60611-3591
(312) 822-3500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY18145
CA
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01606163
BCBS PROVIDER NUMBER
IL
Enumeration date
08/19/2006
Last updated
07/08/2007
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