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Individual

DR. TARANEH SAHIHI FIROOZI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5600 W ADDISON ST, SUITE 203, CHICAGO, IL 60634-4401
(773) 736-6999
(773) 736-2643
Mailing address
5600 W ADDISON ST, SUITE 203, CHICAGO, IL 60634
(773) 736-6999
(773) 736-2643

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
36045349
IL
207ZD0900X
Dermatopathology (Pathology) Physician
36-045349
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001619
IL
05
036045349
IL
Enumeration date
10/16/2006
Last updated
12/02/2012
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