Organization
BEHROOZ ESHAGHY, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEHROOZ ESHAGHY M.D. (PHYSICIAN OWNER)
(630) 718-0200
Entity
Organization
Contact information
Practice address
1111 SUPERIOR ST, SUITE 303, MELROSE PARK, IL 60160-4138
(708) 343-5555
(708) 343-5555
Mailing address
PO BOX 64568, PHOENIX, AZ 85082-4568
(302) 886-2376
(855) 781-4084
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021624852
BLUE CROSS / BLUE SHIELD
IL
Enumeration date
02/17/2006
Last updated
10/09/2019
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