Ghazizadeh, Ramin

Ghazizadeh, Ramin is an sole proprietor health care provider with primary practice located at 231 Main St , Park Forest IL 60466-2097. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Ghazizadeh, Ramin can be contacted via phone (708) 748-3338.

Contact Information

Primary practice address
231 Main St Park Forest IL 60466-2097
Phone: (708) 748-3338
Fax: (708) 748-4332
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 135000885 Illinois

Profile Details

NPI number 1649652140
LBN Legal business name Ghazizadeh, Ramin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2015
Last updated May 1st, 2023 - about last year

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 1649652140 NPPES
Illinois MEDICAID 016005783

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