Gabriella Shirazi, DO
Family Medicine in Lake Forest, IL. Individual provider (NPI-1).
NPI number1508568494
StatusActive
Last updated in NPPESAug 24, 2026
Details
- NPI
- 1508568494
- Entity type
- Individual (NPI-1)
- Name
- Gabriella Shirazi
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2023
- Certification date
- Aug 24, 2026
- Last updated
- Aug 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036181497 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
915 S Waukegan RdLake Forest, IL 60045-2654
Phone 847-234-8866 · Fax 847-234-4698
Mailing address
2650 Ridge Ave Ste 1223Evanston, IL 60201-1700
Phone 847-570-2040 · Fax 847-733-5315
Other practice locations
3249 S. Oak Park Avenue
Berwyn, IL 60402
Berwyn, IL 60402
Phone 877-834-7264
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