Individual
SAIED GHADERSOHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE # 25, CHICAGO, IL 60611-2991
(800) 543-7362
Mailing address
225 E CHICAGO AVE # 25, CHICAGO, IL 60611-2991
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
036152914
IL
Other
Enumeration date
03/27/2014
Last updated
10/23/2024
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