Organization
M. IMANI & P. IMANI, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POURAN IMANI M.D. (OWNER)
(312) 641-1156
Entity
Organization
Contact information
Practice address
2959 S. COTTAGE GROVE AVE., CHICAGO, IL 60616
(312) 759-8200
(773) 751-2250
Mailing address
130 N GARLAND CT, SUITE 2605, CHICAGO, IL 60602-4750
(312) 641-1156
(773) 751-2250
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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