Pazooki, Babak
Pazooki, Babak is an individual health care provider with primary practice located at 2100 Glenwood Ave , Joliet IL 60435-5487. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Pazooki, Babak can be contacted via phone (630) 789-4910.Contact Information
Primary practice address
2100 Glenwood Ave
Joliet IL 60435-5487
Phone: (630) 789-4910
Fax: (630) 348-3622
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 036123720 | Illinois |
Profile Details
NPI number | 1396762316 |
---|---|
LBN Legal business name | Pazooki, Babak |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 16th, 2006 |
Last updated | Aug 17th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396762316 | NPPES |
Illinois | MEDICAID | 036123720 | |
Illinois | MEDICAID | 124215600 | |
Illinois | Other | 314784 | |
Illinois | Other | P00403105 |
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