Payam Rezai Dds Pc

NPI 1235565110 - Clinic/Center - 261QD0000X

NPI Details
NPI 1235565110
Enumeration Date 09/23/2013
Last Updated 09/23/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name PAYAM PAYAM
Position PRESIDENT
Phone (847) 502-2127
Fax
Practice Location
3927 W BELMONT AVE STE 105
CHICAGO IL, 60618-5170, US
Phone (847) 502-2127
Fax
Business Location
1901 S CALUMET AVE UNIT 1107
CHICAGO IL, 60616-6008, US
Phone (847) 502-2127
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Illinois
License Number 060010572
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According to our database, Payam Rezai Dds Pc NPI is 1235565110, taxonomy code is 261QD0000X and license number is 060010572, license state is located at Illinois. Payam Rezai Dds Pc physically located at 3927 W Belmont Ave Ste 105, Chicago IL, 60618-5170. NPI Number 1033115704 has the healthcare provider type.

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1235565110 NPI number is provided on an as is basis without warranty of any kind. 1235565110 is maintained by the National Plan & Provider Enumeration System. The contents of Payam Rezai Dds Pc are for informational purposes only.