Individual
DR. JAFAR HAGHSHENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4440 W 95TH ST STE 183, OAK LAWN, IL 60453-2600
(708) 684-4393
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
H0089469
MD
2086S0102X
Surgical Critical Care Physician
Primary
036-157444
IL
390200000X
Student in an Organized Health Care Education/Training Program
5151013905
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/24/2014
Last updated
12/21/2022
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