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NPI Code Detail

MEDICARE: DR. AMIR HOSSEIN VAFA MD

MEDICARE: DR. AMIR HOSSEIN VAFA 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
12086S0102XSurgical Critical Care Physician036116160IL
2208600000XSurgery Physician036116160IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1036116160OTHERILPHYSICIAN AND SURGEON LIC

General Provider Information

NPI Number : 1881818326
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMIR HOSSEIN VAFA MD
Provider Business Mailing Address
First Line : 1500 S FAIRFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1782
Country : US
Telephone Number : 773-257-4752
Fax Number :
Provider Business Practice Location Address
First Line : 1500 S FAIRFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1782
Country : US
Telephone Number : 773-257-6464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 04/29/2025

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