Organization
PAYAM REZAI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAYAM REZAI DDS (PRESIDENT)
(847) 502-2127
Entity
Organization
Contact information
Practice address
3927 W BELMONT AVE STE 105, CHICAGO, IL 60618-5170
(847) 502-2127
Mailing address
1901 S CALUMET AVE UNIT 1107, CHICAGO, IL 60616-6008
(847) 502-2127
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
060010572
IL
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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