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Individual

NAVA AZIMZADEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(304) 691-1200
Mailing address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(484) 860-7379

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125079178
IL
208600000X
Surgery Physician
R-12317
IA

Other

Enumeration date
05/11/2018
Last updated
03/03/2022
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