Individual
BAHRAM RAHMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 EAST CHICAGO AVE., DIVISION OF PEDIATRIC OPTHALMOLOGY, CHICAGO, IL 60611
(800) 543-7362
(312) 227-9411
Mailing address
225 EAST CHICAGO AVE., DIVISION OF PEDIATRIC OPTHALMOLOGY, CHICAGO, IL 60611-2991
(800) 543-7362
(312) 227-9411
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036109049
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109049
—
IL
05
—
200482610A
—
IN
Enumeration date
09/20/2005
Last updated
10/04/2019
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