Organization
RAMIN GHAZIZADEH LLC
Active
Other names
Park Forest Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
MAYLIN ALUNAN (ADMINISTRATOR)
(708) 748-3338
Entity
Organization
Contact information
Practice address
231 MAIN ST, PARK FOREST, IL 60466-2097
(708) 748-3338
(708) 748-4332
Mailing address
231 MAIN ST, PARK FOREST, IL 60466-2097
(708) 748-3338
(708) 748-4332
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005783
—
IL
Enumeration date
01/12/2023
Last updated
01/12/2023
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