Individual
FARNAZ SHARIATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 W HARRISON ST STE 207, CHICAGO, IL 60612-3988
(312) 942-5861
Mailing address
1725 W HARRISON ST STE 207, CHICAGO, IL 60612-3988
(312) 942-5861
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
309296
LA
207RG0100X
Gastroenterology Physician
Primary
036161434
IL
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/20/2015
Last updated
03/07/2023
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