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DR. KENNY BOZORGI M.D.
NPI 1255568333
Obstetrics & Gynecology - Gynecologic Oncology in Chicago, IL

Active since June 16, 2009
409 W HURON ST, SUITE 301, CHICAGO, IL 60654(312) 787-7861(312) 787-7916 Get Directions Write a Review

NPPES record last updated: June 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenny Bozorgi M.d. NPPES

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

DR. KENNY BOZORGI M.D. (NPI 1255568333) is an individual gynecologic oncology provider in Chicago, Illinois, licensed in Illinois (036090621) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1255568333
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameDR. KENNY BOZORGICredential: M.D.
Location Address409 W HURON ST, SUITE 301Chicago, IL 60654-3431
Mailing Address409 W Huron St, Suite 301Chicago, IL 60654-3431 · (312) 787-7861 · Fax (312) 787-7916
Phone(312) 787-7861
Fax(312) 787-7916
Sole ProprietorYes
Enumeration DateJune 16, 2009
✔ NPI 1255568333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in IL · 036090621
Definition
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.
409 W HURON ST, Chicago, IL 60654
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Other Identifiers 3

Medicare UPING65746IL
Medicare PIN85733JIL
MedicaidPO85733J9IL

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 Kenny Bozorgi's NPI number?

The NPI number for Kenny Bozorgi is 1255568333. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Where is Kenny Bozorgi located?

Kenny Bozorgi practices at 409 W Huron St Suite 301, Chicago, IL 60654. The listed phone number is (312) 787-7861.

What is Kenny Bozorgi's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

When was this NPI record last updated?

The NPPES record for Kenny Bozorgi was last updated on June 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.