Organization
E REZVANI MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENAYATOLLAH REZVANI MD (PRESIDENT)
(847) 259-2620
Entity
Organization
Contact information
Practice address
605 W CENTRAL ROAD, SUITE 204, ARLINGTON HEIGHTS, IL 60005-2364
(847) 259-2620
(847) 259-6409
Mailing address
605 W CENTRAL ROAD, SUITE 204, ARLINGTON HEIGHTS, IL 60005-2364
(847) 259-2620
(847) 259-6409
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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