Individual
AMIR REZA RAZAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9153
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9153
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
125.085393
IL
Other
Enumeration date
04/10/2024
Last updated
06/08/2025
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