Dr. Kenny Bozorgi
Gynecologic Oncologist
409 W Huron St Suite 301
Chicago
, Illinois 60654-3431
Dr. Kenny Bozorgi
Gynecologic Oncologist
409 W Huron St Suite 301
Chicago
, Illinois 60654-3431
(312) 787-7916
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Dr. Kenny Bozorgi
- 409 W Huron St Suite 301
- Chicago, IL
- Zip : 60654-3431
- Fax : (312) 787-7916
- Phone : (312) 787-7861
Second Address
- Dr. Kenny Bozorgi
- 409 W Huron St Suite 301
- Chicago, IL
- Zip : 60654-3431
- Fax : (312) 787-7916
- Phone : (312) 787-7861
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | 036090621 | IL |
National Provider Identifier
| NPI | 1255568333 |
|---|---|
| Provider Name | Dr. Kenny Bozorgi |
| First Address | Chicago, IL 60654-3431 |
| Second Address | Chicago, IL 60654-3431 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2009 |
| Last Update Date | 16/06/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G65746 | (02) | IL |
| PO85733J9 | (05) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.