Individual
TSCHANGIS MEHRPUYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 W LAKE ST, MELROSE PARK, IL 60160-4039
(708) 681-3000
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
(630) 874-2642
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036044624
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01619414
BCBS GROUP
—
05
—
036044624-3
—
IL
05
—
036044624-4
—
IL
Enumeration date
08/15/2005
Last updated
03/17/2009
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