Organization Active NPI

Taraneh S Firoozi MD SC

  • Dermatology Physician
  • Chicago, IL
National Provider Identifier
1154505279
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
36045349 Issued in IL
Legal business name
TARANEH S FIROOZI MD SC
Practice address
5600 W Addison St
Suite 203
Chicago, IL 60634
Phone
(773) 736-6999
Fax
(773) 736-2643
NPI assigned
Dec 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Taraneh Sahihi Firoozi, MDNPI 1689764920
Title
Owner Dermatologist
Phone
(773) 736-6999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 36045349 IL Primary

Addresses

Primary practice location

5600 W Addison St
Suite 203
Chicago, IL 60634

Mailing address

5600 W Addison St
Suite 203
Chicago, IL 60634
Phone (773) 736-6999

Other identifiers 1

IdentifierTypeStateIssuer
036045349MedicaidIL

National Provider Directory

National Provider Directory

Locations

5600 W Addison St
Ste 203
Chicago, IL 60634
Phone (773) 736-6999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1154505279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W ADDISON ST",
            "address_2": "SUITE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60634",
            "telephone_number": "773-736-6999",
            "fax_number": "773-736-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W ADDISON ST",
            "address_2": "SUITE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60634",
            "telephone_number": "773-736-6999",
            "fax_number": "773-736-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARANEH S FIROOZI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "FIROOZI",
        "authorized_official_first_name": "TARANEH",
        "authorized_official_middle_name": "SAHIHI",
        "authorized_official_title_or_position": "OWNER DERMATOLOGIST",
        "authorized_official_telephone_number": "773-736-6999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "36045349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036045349",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.