Doctor Name: | DR. EHSAN SAFARI |
NPI Number: | 1083726319 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 036-102351 |
Business Practice Address: | 430 Pennsylvania Ave 110 Glen Ellyn, IL - 601374464 |
Business Phone Number: | 6305457880 |
Business Fax Number: | |
Mailing Address: | 1860 Paysphere Cir, CHICAGO |
State: | IL |
Postal Code: | 606740018 |
Phone Number: | 6304699200 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 05/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 036-102351 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |