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Contact Information

NAVA AZIMZADEH
836 W WELLINGTON AVE
CHICAGO, IL60657-5147
 Phone: 304-691-1200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NAVA AZIMZADEH · (Female)

NPI Number 1437649837
Status Active
Credentials
Entity Individual
Enumeration date 05/11/2018
Last updated 03/03/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IA License # R-12317
  • IL License # 125079178
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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