DR. GHAZALEH ROSTAMI NIA


Address: 2650 Ridge Avenue Walgreen Building, Suite 1507, Evanston, IL 60201
Phone: 8474349728

DR. GHAZALEH ROSTAMI NIA (NPI# 1063824027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063824027
Entity Type Individual
Full Name DR. GHAZALEH ROSTAMI NIA
Credential MD
Practice Address 2650 Ridge Avenue Walgreen Building, Suite 1507
Evanston
IL 60201
Practice Telephone 8474349728
Mailing Telephone (847) 434-9728
Enumeration Date 2014-05-27
Last Update Date 2017-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 390200000X Student in an Organized Health Care Education/Training Program 0116026700 VA Student, Health Care
Y 207VF0040X Obstetrics & Gynecology
Specialization: Female Pelvic Medicine and Reconstructive Surgery
036.142490 IL Allopathic & Osteopathic Physicians
N 207VF0040X Obstetrics & Gynecology
Specialization: Female Pelvic Medicine and Reconstructive Surgery
0116026700 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 2650 RIDGE AVENUE WALGREEN BUILDING, SUITE 1507
City EVANSTON
State IL
Zip Code 60201

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356962898 Sebastian Andres Cruz Internal Medicine Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 2020-05-06
1053970442 Wade Gilman Family Medicine 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 2019-06-10
1922577949 Elizabeth Wilton Therapy, LLC Counselor 2901a Central St Ste 3, Evanston, IL 60201 2018-11-20
1952887812 Sg Wellness LLC Clinic/Center 3008 Central Street, Evanston, IL 60201 2018-07-13
1689169591 Michael Kert Zijlstra Internal Medicine Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 2018-06-25
1982199725 Elizabeth Hannah Lees Internal Medicine Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 2018-06-25
1730674565 Ashley Elizabeth Aller Internal Medicine Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 2018-06-25
1669967683 Ayush N Shah Internal Medicine 2650 Ridge Ave Ste 5315, Evanston, IL 60201 2018-06-22
1811481062 Jeffrey D. Brow Internal Medicine 2650 Ridge Ave Rm 5315, Evanston, IL 60201 2018-06-20
1831687250 Michael Patrick Murphy Radiology 807 Davis St. Unit 707, Evanston, IL 60201 2018-05-01
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Taxonomy Information

Taxonomy Code 207VF0040X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Female Pelvic Medicine and Reconstructive Surgery

Taxonomy Definition

A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265871867 Akira William Gillingham Obstetrics & Gynecology 250 E Superior St # 5-2370, Chicago, IL 60611-2914 2013-06-18
1285733139 Roger P Goldberg Obstetrics & Gynecology 9650 Gross Point Rd Fl 3, Skokie, IL 60076 2006-09-21
1700984408 Peter Kevin Sand Obstetrics & Gynecology 9650 Gross Point Rd # 3900, Skokie, IL 60076 2006-09-20
1700146826 Carol Emi Bretschneider Obstetrics & Gynecology 676 N Saint Clair St Ste 950, Chicago, IL 60611-2955 2012-05-23
1033400957 Anne Galanti Sammarco Obstetrics & Gynecology 1725 W Harrison St Ste 1138, Chicago, IL 60612-3845 2011-04-26
1841599255 Sonia Dutta Obstetrics & Gynecology 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-1214 2011-03-24
1912227463 Tanaka Junior Dune Obstetrics & Gynecology 2160 S 1st Ave, Loyola University Medical Center, Maywood, IL 60153 2010-06-08
1346570405 Margaret G Mueller Obstetrics & Gynecology 676 N Saint Clair St, Suite 950, Chicago, IL 60611-2927 2010-01-12
1275704256 Adam Gafni-kane Obstetrics & Gynecology 9650 Gross Point Rd Ste 3900, Skokie, IL 60076 2008-03-18
1124173851 Swedishamerican Hospital Obstetrics & Gynecology 209 9th St, Suite 200, Rockford, IL 61104 2007-01-24
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Competitor

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City EVANSTON
Zip Code 60201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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