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
Phone: (815) 455-2752
Fax: (815) 455-2789
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417945437 | NPPES |
| Illinois | MEDICAID | 036090794 | |
| Illinois | Other | DR.0054524 | |
| Illinois | Other | 036090794 |
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