Bozorgi, Kenny
Bozorgi, Kenny is an sole proprietor health care provider with primary practice located at 409 W Huron St Suite 301, Chicago IL 60654-3431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Bozorgi, Kenny can be contacted via phone (312) 787-7861.Contact Information
Primary practice address
409 W Huron St Suite 301
Chicago IL 60654-3431
Phone: (312) 787-7861
Fax: (312) 787-7916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 036090621 | Illinois |
Profile Details
| NPI number | 1255568333 |
|---|---|
| LBN Legal business name | Bozorgi, Kenny |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2009 |
| Last updated | Jun 16th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255568333 | NPPES |
| Illinois | MEDICAID | PO85733J9 |
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