Jazayerli, Roukan
Jazayerli, Roukan is an individual health care provider with primary practice located at 10640 W 165Th Street , Orland Park IL 60467-5653. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Sleep Medicine, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Jazayerli, Roukan can be contacted via phone (708) 364-0261.Contact Information
Primary practice address
10640 W 165Th Street
Orland Park IL 60467-5653
Phone: (708) 364-0261
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036118838 | Illinois |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 036118838 | Illinois |
| Other Service Providers / Specialist | 174400000X | 036118838 | Illinois |
Profile Details
| NPI number | 1497804454 |
|---|---|
| LBN Legal business name | Jazayerli, Roukan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jun 6th, 2019 - about 7 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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