Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 125078026 | IL |
Y | 208600000X | Surgeon | 125078026 | IL |
NPI | 1013593995 |
---|---|
Provider Name | Sherayar Orakzai |
First Address | Chicago, IL 60612-3825 |
Second Address | Chicago, IL 60612-3825 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2021 |
Last Update Date | 17/06/2021 |