Individual
DR. ALAN P. NAZERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 SPRING RD, SUITE 200, OAK BROOK, IL 60523-1804
(630) 472-8800
(630) 472-9502
Mailing address
2000 SPRING RD, SUITE 200, OAK BROOK, IL 60523-1804
(630) 472-8800
(630) 472-9502
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036092890
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092890
—
IL
01
—
130771300
DEPT. OF LABOR
IL
01
—
1636444
BCBS
—
01
—
2215114
BCBS
—
01
—
300110733
RR MEDICARE ID
IL
01
—
612742700
DEPT. OF LABOR
IL
01
—
P00312639
RR MEDICARE ID
IL
Enumeration date
06/07/2006
Last updated
10/23/2007
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