Peyman Pahlavan M.D.

NPI 1063450757 - Internal Medicine - 207RG0300X

NPI Details
NPI 1063450757
Gender Male
Enumeration Date 06/03/2006
Last Updated 02/07/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
153 1/2 N. BROADWAY AVENUE
MELROSE PARK IL, 60160, US
Phone (708) 345-8960
Fax (708) 345-8965
Business Location
153 1/2 BROADWAY AVE
MELROSE PARK IL, 60160, US
Phone (312) 371-9325
Fax (708) 345-8965
Toxanomy
Taxonomy Code 207RG0300X
License State Illinois
License Number 036-103944
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According to our database, Dr. Peyman Pahlavan M.D. NPI is 1063450757, taxonomy code is 207RG0300X and license number is 036-103944, license state is located at Illinois. Peyman Pahlavan M.D. physically located at 153 1/2 N. Broadway Avenue, Melrose Park IL, 60160. NPI Number Peyman Pahlavan M.D. has the Individual type.

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1063450757 NPI number is provided on an as is basis without warranty of any kind. 1063450757 is maintained by the National Plan & Provider Enumeration System. The contents of Peyman Pahlavan M.D. are for informational purposes only.