Individual
DR. BABAK PAZOOKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 GLENWOOD AVE, JOLIET, IL 60435-5487
(630) 789-4910
(630) 348-3622
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036123720
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036123720
—
IL
05
—
124215600
—
WY
01
—
314784
BLUE CROSS BLUE SHIELD
WY
01
—
P00403105
RAILROAD MEDICARE
WY
Enumeration date
07/16/2006
Last updated
08/17/2023
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