Tayyebi, Azam
Tayyebi, Azam is an sole proprietor health care provider with primary practice located at 1200 S York St Ste 1120 , Elmhurst IL 60126-5626. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tayyebi, Azam can be contacted via phone (331) 221-6090.Contact Information
Primary practice address
1200 S York St Ste 1120
Elmhurst IL 60126-5626
Phone: (331) 221-6090
Fax: (331) 221-3839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209013433 | Illinois |
Profile Details
| NPI number | 1245605088 |
|---|---|
| LBN Legal business name | Tayyebi, Azam |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2015 |
| Last updated | Jun 15th, 2022 - about 4 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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