Individual
MARYAM HELEN HAZEGHAZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D, PHD
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(847) 570-2540
Mailing address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036147180
IL
Other
Enumeration date
06/06/2011
Last updated
11/01/2021
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