Individual provider · NPI-1
Azam Abbasi
Radiologic Technologist, Vascular Sonography · Oakbrook Tarrece, IL
NPI number1508971656
StatusActive
Last updated in NPPESAug 2, 2017
Details
- NPI
- 1508971656
- Entity type
- Individual (NPI-1)
- Name
- Azam Abbasi
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2006
- Last updated
- Aug 2, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471V0105X | Radiologic Technologist, Vascular Sonography | – | – | Yes |
Practice location
17 W 434 Rooselvet RdOakbrook Tarrece, IL 60181
Phone 630-279-6033
Mailing address
708 Lavergne AveWilmette, IL 60181
Phone 773-910-0193
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