Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 036-132673 | IL |
N | 207V00000X | Obstetrician & Gynecologist | 45252 | KY |
N | 207V00000X | Obstetrician & Gynecologist | MD.202426 | LA |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 036132673 | IL |
NPI | 1568672160 |
---|---|
Provider Name | Farnaz Almasganj |
First Address | Aurora, IL 60504-4511 |
Second Address | Aurora, IL 60504-6193 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 28/10/2021 |