Safari, Ehsan

Safari, Ehsan is an individual health care provider with primary practice located at 430 Pennsylvania Ave 110, Glen Ellyn IL 60137-4464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Safari, Ehsan can be contacted via phone (630) 545-7880.

Contact Information

Primary practice address
430 Pennsylvania Ave 110 Glen Ellyn IL 60137-4464
Phone: (630) 545-7880
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036-102351 Illinois

Profile Details

NPI number 1083726319
LBN Legal business name Safari, Ehsan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083726319 NPPES
Illinois MEDICAID 036102361

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