Individual
DR. EBRAHIM GHODSIZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4438 N MILWAUKEE AVE, CHICAGO, IL 60630-3743
(773) 794-2100
(773) 794-2492
Mailing address
4438 N MILWAUKEE AVE, CHICAGO, IL 60630-3743
(773) 794-2100
(773) 794-2492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
07/21/2006
Last updated
03/07/2023
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