Individual
MR. ZIYA BAGHMANLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 SPRING STREET, RED BUD, IL 62278
(618) 282-3831
(618) 282-5476
Mailing address
911 FORBES DR, WATERLOO, IL 62298-3173
(734) 709-3462
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036.142899
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2011
Last updated
05/29/2026
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