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NPI Code Detail

MEDICARE: SHIFAA YEZDANI

MEDICARE:   SHIFAA  YEZDANI
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
1106S00000XBehavior TechnicianIL

General Provider Information

NPI Number : 1588517932
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIFAA YEZDANI
Provider Business Mailing Address
First Line : 121 N ADDISON AVE
Second Line :
City : ELMHURST
State : IL
Zip : 60126-2809
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 121 N ADDISON AVE
Second Line :
City : ELMHURST
State : IL
Zip : 60126-2809
Country : US
Telephone Number : 866-673-5278
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2026
Last Update Date : 02/17/2026

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Directions to “ SHIFAA YEZDANI ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.