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DR. KENNY BOZORGI M.D. NPI 1255568333


NPI Information

NPI: 1255568333
Provider Name: DR. KENNY BOZORGI, M.D.
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Individual

Specialization: Gynecologic Oncology

Address:
409 W HURON ST
SUITE 301
CHICAGO, IL
ZIP 60654
Phone: (312) 787-7861
Get Directions

DR. Kenny Bozorgi, M.D. is a gynecologic oncology obstetrics gynecology in Chicago, IL. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. DR. Kenny Bozorgi, M.D. NPI is 1255568333. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

409 W HURON ST
SUITE 301
CHICAGO, IL
ZIP 60654-431
Phone: (312) 787-7861
Fax: (312) 787-7916

The enumeration date for this NPI number is 6/16/2009 and was last updated on 6/16/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0201XObstetrics & GynecologyGynecologic Oncology036090621ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G65746MEDICARE UPINILLINOIS
285733JMEDICARE PINILLINOIS
3PO85733J9MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.