Individual
GABRIELLA LAYLA SHIRAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3249 S. OAK PARK AVENUE, BERWYN, IL 60402
(877) 834-7264
Mailing address
3249 S. OAK PARK AVENUE, BERWYN, IL 60402
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
05/21/2023
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