KOUSHAN HAIDARZADEH AZAD

CICERO, IL
NPI1154533180
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019026920)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
Dr. KOUSHAN HAIDARZADEH AZAD DMD
2240 S CICERO AVE
CICERO, IL 60804-2411
Phone number: 706-656-2222
Mailing Address
Dr. KOUSHAN HAIDARZADEH AZAD DMD
312 JUSTINA ST
HINSDALE, IL 60521-2417
Phone number: 630-706-0647
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