Freidoon Azizi
Gynecologic Oncologist
2900 N Lake Shore Dr
Chicago
, Illinois 60657-5640
Freidoon Azizi
Gynecologic Oncologist
2900 N Lake Shore Dr
Chicago
, Illinois 60657-5640
(773) 935-4701
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Freidoon Azizi
- Po Box 578220
- Chicago, IL
- Zip : 60657-8220
- Fax : (773) 935-4701
- Phone : (773) 935-4700
Second Address
- Freidoon Azizi
- 2900 N Lake Shore Dr
- Chicago, IL
- Zip : 60657-5640
- Fax : (773) 665-3488
- Phone : (773) 665-3961
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | 036-051587 | IL |
National Provider Identifier
| NPI | 1225024185 |
|---|---|
| Provider Name | Freidoon Azizi |
| First Address | Chicago, IL 60657-8220 |
| Second Address | Chicago, IL 60657-5640 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2005 |
| Last Update Date | 18/06/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D89300 | (02) | 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.