NPI 1013570472 · live from the CMS NPI Registry
Garen Azizi, DPM
Podiatrist, Foot & Ankle Surgery in Chicago, IL. National Provider Identifier 1013570472, active.
NPI record
| NPI | 1013570472 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 5501 W Belmont Ave, Chicago, IL 60641 |
| Practice phone | 773-205-0106 |
| Enumerated | April 20, 2019 |
| Last updated | August 15, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 07001401A (IN) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 135.001030 (IL) |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 016.005982 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.