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Dr. Koushan Haidarzadeh Azad, DMD
General Practice Dentistry in Cicero, Illinois
NPI 1154533180

Koushan Haidarzadeh Azad is a General Practice Dentistry based in Hinsdale, IL and is specialized in General Practice. Koushan Haidarzadeh Azad practices in Cicero, IL and has the professional credentials of DMD. The NPI Number for Koushan Haidarzadeh Azad is 1154533180 and holds a License No. 019026920 (Illinois).

The current practice location address for Koushan Haidarzadeh Azad is 2240 S Cicero Ave, Cicero, IL and can be reached out via phone at 706-656-2222 and via fax at 708-652-3990.

Location: 2240 S Cicero Ave, Cicero, IL, 60521-2417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154533180
Provider Name
Koushan Haidarzadeh Azad
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2240 S Cicero Ave, Cicero, IL, 60521-2417
Phone Number
706-656-2222
Fax Number
708-652-3990
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2240 S Cicero Ave
City
Cicero
State
Illinois
Zip
60804-2411
Phone Number
706-656-2222
Fax Number
708-652-3990
person
Provider Business Mailing Address Details
Address
2240 S Cicero Ave
City
Cicero
State
Illinois
Zip
60804-2411
Phone Number
706-656-2222
Fax Number
708-652-3990
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019026920 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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