Individual
NAFISA Y. GHADIALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 S WOOD ST, CHICAGO, IL 60612-4300
(312) 996-7206
(312) 996-9788
Mailing address
912 S WOOD ST, CHICAGO, IL 60612-4300
(312) 996-7206
(312) 996-9788
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036096915
IL
Other
Enumeration date
08/15/2006
Last updated
05/23/2008
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