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:
Health care specialties
Specialty | Code | License # | 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 2 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 | 1649652140 | NPPES |
Illinois | MEDICAID | 016005783 |
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