E Rezvani MD SC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

E REZVANI MD SC

Practice address

605 W Central Road
Suite 204
Arlington Heights, IL 60005-2364

Phone

(847) 259-2620

Fax

(847) 259-6409

NPI assigned

Oct 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Enayatollah Rezvani, MDNPI 1679662472

Title

President

Phone

(847) 259-2620

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Enayatollah Rezvani, MD

  • Pediatrics Physician
  • Arlington Heights, IL
  • NPI 1679662472
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235228032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W CENTRAL ROAD",
            "address_2": "SUITE 204",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052364",
            "telephone_number": "847-259-2620",
            "fax_number": "847-259-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W CENTRAL ROAD",
            "address_2": "SUITE 204",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052364",
            "telephone_number": "847-259-2620",
            "fax_number": "847-259-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E REZVANI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REZVANI",
        "authorized_official_first_name": "ENAYATOLLAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-259-2620",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Dwyer, MD
• Dynamic Direction Counseling
• John J Dzakovich, DDS
• Diane Dziekan, PHARMD
• Michael Walter Dziurgot, D.C.
• Emilio Jose Edemni
• Edgar G. Chedrawy MD SC
• John D Edwards, MD
• Laura Leigh Edwards, PSYD
• Michael Daniel Egan, ATC

• Pediatrics Physician in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.