Individual
YASAMAN KAZEROONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 MAIN ST STE 400, PEORIA, IL 61606-2036
(309) 691-4005
(309) 691-6144
Mailing address
1001 MAIN ST STE 400, PEORIA, IL 61606-2036
(309) 691-4005
(309) 691-6144
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036172112
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
09/27/2024
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