Ardakani, Azita

Ardakani, Azita is an individual health care provider with primary practice located at 5201 Willow Springs Rd Ste 120 , La Grange Highlands IL 60525-6540. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ardakani, Azita can be contacted via phone (708) 245-6097.

Contact Information

Primary practice address
5201 Willow Springs Rd Ste 120 La Grange Highlands IL 60525-6540
Phone: (708) 245-6097
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-089177 Illinois

Profile Details

NPI number 1649384256
LBN Legal business name Ardakani, Azita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Nov 2nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649384256 NPPES
Illinois MEDICAID 036-089177

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