Eghrari, Faramarz

Eghrari, Faramarz is an individual health care provider with primary practice located at 1111 Superior St Suite 409, Melrose Park IL 60160-4138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Eghrari, Faramarz can be contacted via phone (708) 343-7451.

Contact Information

Primary practice address
1111 Superior St Suite 409 Melrose Park IL 60160-4138
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036049491 Illinois

Profile Details

NPI number 1710015953
LBN Legal business name Eghrari, Faramarz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jul 8th, 2007 - about 17 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 1710015953 NPPES
Illinois Other 0031600651 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036049491 BLUE CROSS BLUE SHIELD

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