Individual
YASAMAN KIANIRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1801 W TAYLOR ST, CHICAGO, IL 60612-4795
(312) 355-0510
(312) 413-7704
Mailing address
912 S WOOD STREET, DEPT OF NEUROLOGY MC 796, CHICAGO, IL 60612-4300
(312) 996-4960
(312) 913-8215
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-139084
IL
Other
Enumeration date
07/06/2011
Last updated
11/16/2017
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