Organization
AVICENNA PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASMIN KAGZI MD (MD)
(630) 229-4633
Entity
Organization
Contact information
Practice address
1S450 SUMMIT AVE STE 390, OAKBROOK TERRACE, IL 60181-3976
(630) 229-4633
Mailing address
233 CIMARRON RD W, LOMBARD, IL 60148-1494
(630) 229-4633
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.129037
IL
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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