MEHRDAD EATESAM

CHICAGO, IL
NPI1437604170
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036147385)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IN  01082256A)
208M00000X Hospitalist
(Licence: ID  036147385)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL  125.069163)
Enumeration Date2016-08-23
Last Update Date2023-01-27
Business Address
MEHRDAD EATESAM M.D.
2900 N LAKE SHORE DR
CHICAGO, IL 60657-5640
Phone number: 773-665-3323
Mailing Address
MEHRDAD EATESAM M.D.
2900 N LAKE SHORE DR
CHICAGO, IL 60657-5640
Phone number: 773-665-3323