Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0401X | Internist - Addiction Medicine | 036143296 | IL |
NPI | 1376819565 |
---|---|
Provider Name | Dr. Sahar Eftekhar |
First Address | Chicago, IL 60611 |
Second Address | Chicago, IL 60611-2595 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2012 |
Last Update Date | 25/08/2017 |