Individual provider · Type 1 NPI

Hesamoddin Keshmiri, D.O

Student in an Organized Health Care Education/Training Program · Oak Lawn, IL

NPI number 1619224375 Active

Practice location

4440 W 95th St, 131NO
Oak Lawn, IL 60453-2600

Call (708) 684-5673 Map

Mailing address

9815 Ridgeland Ave, Apt 1W
Oak Lawn, IL 60453-3677

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619224375

Hesamoddin Keshmiri, D.O's National Provider Identifier is 1619224375, issued on Aug 12, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oak Lawn, IL. The record was last updated on Aug 12, 2012.