Pazooki, Babak

Pazooki, Babak is an individual health care provider with primary practice located at 2100 Glenwood Ave , Joliet IL 60435-5487. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Pazooki, Babak can be contacted via phone (630) 789-4910.

Contact Information

Primary practice address
2100 Glenwood Ave Joliet IL 60435-5487
Phone: (630) 789-4910
Fax: (630) 348-3622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036123720 Illinois

Profile Details

NPI number 1396762316
LBN Legal business name Pazooki, Babak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Aug 17th, 2023 - about 3 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 1396762316 NPPES
Illinois MEDICAID 036123720
Illinois MEDICAID 124215600
Illinois Other 314784
Illinois Other P00403105

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