NPI 1366428070
Kourous a Rezaei, MD
Practice location
- Address
- 71 W 156th St STE 400, Harvey, IL 60426-4265
- Phone
- (708) 596-8710
- Fax
- (708) 596-9820
- Mailing address
- 11516 183rd Pl STE SW, Orland Park, IL 60467-9471
Registered specialties (3)
Retina Specialist (Ophthalmology) Physician
Primary
Ophthalmology Physician
Retina Specialist (Ophthalmology) Physician
Registry record
- NPI
- 1366428070
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Dec 2005
- Record last updated
- 4 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.