Pahlavan, Peyman

Pahlavan, Peyman is an individual health care provider with primary practice located at 153 1/2 N. Broadway Avenue , Melrose Park IL 60160. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pahlavan, Peyman can be contacted via phone (708) 345-8960.

Contact Information

Primary practice address
153 1/2 N. Broadway Avenue Melrose Park IL 60160
Phone: (708) 345-8960
Fax: (708) 345-8965
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 036-103944 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036103944 Illinois

Profile Details

NPI number 1063450757
LBN Legal business name Pahlavan, Peyman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated May 6th, 2024 - about 6 months 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 1063450757 NPPES
Illinois MEDICAID 036-103944
Illinois Other 0001634278

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