Individual
DR. KUROSH TAKHTEHCHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-4020
Mailing address
1740 W TAYLOR ST STE 3200, CHICAGO, IL 60612-7232
(312) 996-4020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036109557
IL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
036-109557
IL
207R00000X
Internal Medicine Physician
036109557
IL
390200000X
Student in an Organized Health Care Education/Training Program
036109557
IL
Other
Enumeration date
06/06/2007
Last updated
07/14/2023
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