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Individual

AYDIN HUSEYNOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
434 CALLAN AVE, EVANSTON, IL 60202-2973
(773) 865-8018
(515) 967-5177
Mailing address
434 CALLAN AVE, EVANSTON, IL 60202-2973
(773) 865-8018
(515) 967-5177

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
07/07/2016
Last updated
07/07/2016
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