Individual
POUYA JAMSHIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 N FAIRBANKS CT STE 2-458, CHICAGO, IL 60611-3013
(312) 926-3211
(312) 503-8259
Mailing address
710 N FAIRBANKS CT STE 2-458, CHICAGO, IL 60611-3013
(312) 926-3211
(312) 503-8259
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
036155214
IL
207ZP0101X
Anatomic Pathology Physician
125.072322
IL
Other
Enumeration date
03/25/2016
Last updated
11/13/2023
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