Individual
DR. AMIR ALI BORHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 695-3737
(312) 695-5645
Mailing address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 695-3737
(312) 695-5645
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
036.151431
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036151431
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102841822
—
PA
Enumeration date
06/21/2008
Last updated
09/10/2021
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