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Individual

MOZZIYAR ETEMADI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
251 E HURON ST, F5-704, CHICAGO, IL 60611-2908
(312) 695-0061
Mailing address
251 E HURON ST, F5-704, CHICAGO, IL 60611-2908
(312) 695-0061

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036157440
IL
207L00000X
Anesthesiology Physician
125.069461
IL

Other

Enumeration date
03/25/2016
Last updated
09/23/2021
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