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Individual

YASHAR GHORESHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2016 W CHICAGO AVE # 1, CHICAGO, IL 60622-5548
(312) 788-8070
(312) 668-8603
Mailing address
2016 W CHICAGO AVE FL 1, CHICAGO, IL 60622-5548
(312) 931-0389
(312) 668-8603

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038012335
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
038012335
ILLINOIS STATE LICENSE
IL
Enumeration date
09/18/2013
Last updated
03/22/2023
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