Eftekhar, Irene

Eftekhar, Irene is an individual health care provider with primary practice located at 1801 W Taylor St Ste 2E , Chicago IL 60612-4795. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Eftekhar, Irene can be contacted via phone (312) 996-7416.

Contact Information

Primary practice address
1801 W Taylor St Ste 2E Chicago IL 60612-4795
Phone: (312) 996-7416
Fax: (312) 413-8778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 036-059992 Illinois

Profile Details

NPI number 1326014077
LBN Legal business name Eftekhar, Irene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Apr 24th, 2013 - about 11 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 1326014077 NPPES
Illinois Other E24704 MEDICARE ID
Illinois MEDICAID 036-059992-4 MEDICARE ID

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