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Contact Information

BAHRAM GHADERI, MD, FACS
2900 FOXFIELD ROAD
SUITE 201
SAINT CHARLES, IL60174
 Phone: 630-762-9697
 Fax: 630-762-9721
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BAHRAM GHADERI · (Male)

NPI Number 1952497752
Status Active
Credentials MD, FACS
Entity Individual
Enumeration date 10/05/2006
Last updated 09/19/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036096824
  • IL Medicaid 036096824
  • IL Other 04527510 BCBS IL
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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