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Individual

DR. PEDRAM REZAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036131592
IL
2085R0202X
Diagnostic Radiology Physician
125058282
IL

Other

Enumeration date
06/09/2011
Last updated
06/07/2022
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