Koosha Medical Center P C
Koosha Medical Center P C provides Family Medicine Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
Practice location Address checks out
4438 N Milwaukee AveChicago, IL 60630-3743
Phone: (773) 794-2100
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 0360856071 (IL) |
|---|
Record details
| NPI number | 1164711644 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ebrahim Ghodsizadeh — Owner · (773) 794-2100 |
| NPI enumerated | April 5, 2011 |
| Last updated in NPPES | March 7, 2023 |
| Mailing address | 4438 N Milwaukee Ave, Chicago, IL 60630-3743 |
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