Individual
MANOOCHEHR SHARIFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 GRAND AVE, WAUKEGAN, IL 60085
(847) 223-2905
Mailing address
32880 STONE MANOR DR, GRAYSLAKE, IL 60030-3053
(847) 223-2905
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036040092
IL
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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