Organization
VASECTOMY CLINICS OF CHICAGO
Active
Other names
Kiumars Mostowfi, M.D., S.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIUMARS MOSTOWFI M.D. (PRESIDENT)
(312) 528-9068
Entity
Organization
Contact information
Practice address
505 N LAKE SHORE DR, SUITE 203, CHICAGO, IL 60611-3427
(312) 528-9068
(312) 278-4492
Mailing address
PO BOX 669, LIBERTYVILLE, IL 60048-0669
(312) 528-9068
(312) 278-4492
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036046251
IL
Other
Enumeration date
02/02/2007
Last updated
12/27/2011
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