Individual
DR. ABBAS ALI RIZVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1725 W HARRISON ST STE 955, CHICAGO, IL 60612-3862
(312) 942-7030
Mailing address
1725 W HARRISON ST STE 955, CHICAGO, IL 60612-3862
(312) 942-7030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101023943
MI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
036.156145
IL
Other
Enumeration date
06/01/2018
Last updated
06/20/2022
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