Heydari, Amir J.

Heydari, Amir J. is an individual health care provider with primary practice located at 10350 Haligus Rd Ste 220 , Huntley IL 60142-9585. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Heydari, Amir J. can be contacted via phone (815) 455-2752.

Contact Information

Primary practice address
10350 Haligus Rd Ste 220 Huntley IL 60142-9585
Fax: (815) 455-2789
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X DR.0054524 Colorado
Allopathic & Osteopathic Physicians / Surgery 208600000X 036090794 Illinois

Profile Details

NPI number 1417945437
LBN Legal business name Heydari, Amir J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Dec 19th, 2018 - about 8 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 1417945437 NPPES
Illinois MEDICAID 036090794
Illinois Other DR.0054524
Illinois Other 036090794

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