Individual
MS. SEPIDEH TABARESTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1725 W HARRISON ST STE 710, CHICAGO, IL 60612-3863
(312) 942-4036
Mailing address
1725 W HARRISON ST STE 710, CHICAGO, IL 60612-3863
(312) 942-4036
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
036173266
IL
2084N0600X
Clinical Neurophysiology Physician
AU4176435-T999110981
MD
Other
Enumeration date
06/10/2021
Last updated
07/07/2025
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