POUYAN MOFIDI NASAB

CHICAGO, IL
NPI1871434597
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: IL  125087501)
Enumeration Date2026-04-06
Last Update Date2026-05-08
Business Address
POUYAN MOFIDI NASAB MD
5841 S MARYLAND AVE # MC3079
CHICAGO, IL 60637-1443
Phone number: 773-834-3531
Mailing Address
POUYAN MOFIDI NASAB MD
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150