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Search › Illinois › 183500000X

Mana Azimzadeh, PHARMD

NPI 1992082002 · on the registry since 2011

Practice

Address
450 W Briar Pl
Apt 6d
Chicago, IL 60657
Phone
(773) 325-0413
Fax
(773) 325-2840
Organisation at this address
Ayt Dds Pc
Madeline Mcdonough Nutrition Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-11-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois