Individual
MS. NIKTA PIROUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
2515 N CLARK ST, SUITE 802 BOX 46, CHICAGO, IL 60614-2730
(312) 227-6210
Mailing address
2515 N CLARK ST, SUITE 802 BOX 46, CHICAGO, IL 60614-2730
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
211000267
IL
174400000X
Specialist
Primary
213.00305
IL
Other
Enumeration date
05/12/2013
Last updated
05/12/2013
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