| Ali Riazi M.d. Sc | |
|
1431north Clairmont Chicago IL 60622 | |
| (708) 447-1220 | |
| Not Available |
| Full Name | Ali Riazi M.d. Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 1431north Clairmont, Chicago, Illinois |
| Authorized Official Name and Position | Ali Riazi (OWNER) |
| Authorized Official Contact | 7084471220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Riazi M.d. Sc 725 Chestnut Ave Wilmette IL 60091-1741 Ph: () - | Ali Riazi M.d. Sc 1431north Clairmont Chicago IL 60622 Ph: (708) 447-1220 |
| NPI Number | 1649463381 |
|---|---|
| Provider Enumeration Date | 08/27/2007 |
| Last Update Date | 08/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649463381 | NPI | - | NPPES |
| 0021604495 | Other | IL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36046938 (Illinois) | Primary |
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