Vossoughi, Farhad
Vossoughi, Farhad is an sole proprietor health care provider with primary practice located at 2800 W 95Th St , Evergreen Park IL 60805-2701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Vossoughi, Farhad can be contacted via phone (630) 321-2710.Contact Information
Primary practice address
2800 W 95Th St
Evergreen Park IL 60805-2701
Phone: (630) 321-2710
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036053514 | Illinois |
Profile Details
| NPI number | 1194742924 |
|---|---|
| LBN Legal business name | Vossoughi, Farhad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 16th, 2008 - about 16 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 | 1194742924 | NPPES |
| Illinois | MEDICAID | 036053514 |
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