Individual
B FLORIAN MIRANZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3718 N ASHLAND AVE, CHICAGO, IL 60613-4793
(773) 327-9900
(773) 327-0589
Mailing address
3718 N ASHLAND AVE, CHICAGO, IL 60613-4793
(773) 327-9900
(773) 327-0589
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036100398
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01629934
BCBS PROVIDER ID
IL
05
—
036100398
—
IL
01
—
080171110
RAILROAD MEDICARE
IL
01
—
4010133
ADVOCATE IL MASONIC
IL
Enumeration date
09/20/2005
Last updated
08/19/2025
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