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Individual

DR. HOUSHANG FARAHVAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2222 W DIVISION ST, SUITE 235, CHICAGO, IL 60622-2717
(773) 486-7200
(773) 486-7667
Mailing address
PO BOX 7418, VILLA PARK, IL 60181-7418
(773) 486-7200
(773) 486-7667

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-053620
IL

Other

Enumeration date
07/13/2005
Last updated
03/09/2009
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