Organization
GHAZANFARI & OLIVERA GASTROENTEROLOGY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEIKHOSROW GHAZANFARI M.D. (PRESIDENT)
(773) 871-4600
Entity
Organization
Contact information
Practice address
3004 N ASHLAND AVE, CHICAGO, IL 60657-3012
(773) 871-4600
Mailing address
671 SHERIDAN RD, WINNETKA, IL 60093-2323
(773) 871-4600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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