Individual
KOORUSH BANAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 878-8200
Mailing address
2740 W FOSTER AVE, STE 310, CHICAGO, IL 60625-3547
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036068511
IL
Other
Enumeration date
08/15/2006
Last updated
08/12/2016
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