Individual
DR. RANY JAZAYERLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2560 FOXFIELD RD, SUITE 100, SAINT CHARLES, IL 60174-5797
(630) 443-8855
(630) 443-8866
Mailing address
2560 FOXFIELD RD, SUITE 100, SAINT CHARLES, IL 60174-5797
(630) 443-8855
(630) 443-8866
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036108686
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108686
—
IL
01
—
04532208
BLUE CROSS BLUE SHEILD
IL
Enumeration date
07/12/2005
Last updated
12/23/2013
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