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KOOSHA MEDICAL CENTER P C
NPI 1164711644
Family Medicine in Chicago, IL

Active since April 05, 2011
4438 N MILWAUKEE AVE, CHICAGO, IL 60630(773) 794-2100 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Koosha Medical Center P C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOOSHA MEDICAL CENTER P C (NPI 1164711644) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since April 2011. The organization lists Ebrahim Ghodsizadeh, Owner, as its authorized official.

NPPES Registry Identity

NPI1164711644
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKOOSHA MEDICAL CENTER P C
Location Address4438 N MILWAUKEE AVEChicago, IL 60630-3743
Mailing Address4438 N Milwaukee AveChicago, IL 60630-3743 · (773) 794-2100
Phone(773) 794-2100
Organization SubpartNo
Authorized OfficialEbrahim GhodsizadehOwner · (773) 794-2100
Enumeration DateApril 5, 2011
Last NPPES UpdateMarch 7, 2023
✔ NPI 1164711644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 0360856071
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4438 N MILWAUKEE AVE, Chicago, IL 60630
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Other Identifiers 1

Medicaid0360856071IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAKHSHANDA M. MUNIR MD SC
Clinic/Center
4438 N MILWAUKEE AVE
CHICAGO, IL 60630
Cook County (773) 794-2100
DR. RAKHSHANDA M MUNIR MD
Family Medicine
4438 N MILWAUKEE AVE
CHICAGO, IL 60630
Cook County (773) 794-2100
DR. EBRAHIM GHODSIZADEH MD
Family Medicine
4438 N MILWAUKEE AVE
CHICAGO, IL 60630
Cook County (773) 794-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Koosha Medical Center P C's NPI number?

The NPI number for Koosha Medical Center P C is 1164711644. It was assigned to this organization in the NPPES registry on April 5, 2011.

Where is Koosha Medical Center P C located?

Koosha Medical Center P C is located at 4438 N Milwaukee Ave, Chicago, IL 60630. The listed phone number is (773) 794-2100.

What is Koosha Medical Center P C's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Koosha Medical Center P C was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.