Individual
MEHDI BASSIRATPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 S 138 PARK BLVD, GLEN ELLYN, IL 60137
(630) 605-2646
(630) 790-0655
Mailing address
3 S 138 PARK BLVD, GLEN ELLYN, IL 60137
(630) 605-2646
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036106820
IL
Other
Enumeration date
06/14/2006
Last updated
01/11/2014
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