Individual
DR. BABAK ABDOLLAHSHAMSHIRSAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3022
(773) 665-3384
Mailing address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3022
(773) 665-3384
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
125056529
IL
Other
Enumeration date
10/04/2009
Last updated
10/04/2009
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