Kazerooni, Yasaman

Kazerooni, Yasaman is an individual health care provider with primary practice located at 1001 Main St Ste 400 , Peoria IL 61606-2036. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Kazerooni, Yasaman can be contacted via phone (309) 691-4005.

Contact Information

Primary practice address
1001 Main St Ste 400 Peoria IL 61606-2036
Phone: (309) 691-4005
Fax: (309) 691-6144
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 036172112 Illinois

Profile Details

NPI number 1952807661
LBN Legal business name Kazerooni, Yasaman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2018
Last updated Sep 27th, 2024 - about 2 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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