Individual
DR. FARINOOSH DADRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-4962
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
125.079450
IL
207R00000X
Internal Medicine Physician
125.079450
IL
Other
Enumeration date
03/30/2022
Last updated
05/13/2024
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