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NPI Code Detail

MEDICARE: FREIDOON AZIZI MD

MEDICARE: FREIDOON AZIZI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VX0201XGynecologic Oncology Physician036-051587IL

General Provider Information

NPI Number : 1225024185
Entity Type Code : Individual
Provider Name (Legal Business Name) : FREIDOON AZIZI MD
Provider Business Mailing Address
First Line : PO BOX 578220
Second Line :
City : CHICAGO
State : IL
Zip : 60657-8220
Country : US
Telephone Number : 773-935-4700
Fax Number : 773-935-4701
Provider Business Practice Location Address
First Line : 2900 N LAKE SHORE DR
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5640
Country : US
Telephone Number : 773-665-3961
Fax Number : 773-665-3488
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2005
Last Update Date : 06/18/2009

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Directions to “ FREIDOON AZIZI MD” Practice Location

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