Individual
DR. MAHYAR PARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24821 W 135TH ST, PLAINFIELD, IL 60544-5413
(815) 254-7400
(815) 254-7408
Mailing address
13400 S ROUTE 59 UNIT 116, BOX 245, PLAINFIELD, IL 60585-5830
(815) 254-7400
(815) 254-7408
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036111592
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111592 1
—
IL
Enumeration date
05/15/2007
Last updated
02/21/2020
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