Azaran, Abdol

Azaran, Abdol is an sole proprietor health care provider with primary practice located at 15614 S Harlem Ave Suite C, Orland Park IL 60462-4402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Azaran, Abdol can be contacted via phone (708) 481-4200.

Contact Information

Primary practice address
15614 S Harlem Ave Suite C Orland Park IL 60462-4402
Phone: (708) 481-4200
Fax: (708) 481-3302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036058380 Illinois

Profile Details

NPI number 1578563912
LBN Legal business name Azaran, Abdol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Dec 4th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578563912 NPPES
Illinois MEDICAID 036058380
Illinois Other CE0254
Illinois Other P00760044
Illinois Other 324853

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