Banifazl, Olivia

Banifazl, Olivia is an sole proprietor health care provider with primary practice located at 2522 Forest View Ave , River Grove IL 60171-1602. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Banifazl, Olivia can be contacted via phone (312) 813-4465.

Contact Information

Primary practice address
2522 Forest View Ave River Grove IL 60171-1602
Phone: (312) 813-4465
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 198.001652 Illinois

Profile Details

NPI number 1841047248
LBN Legal business name Banifazl, Olivia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2024
Last updated May 2nd, 2024 - about 6 months 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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