Provider Demographics
NPI:1265618714
Name:CYRUS AKRAMI, M.D.
Entity type:Organization
Organization Name:CYRUS AKRAMI, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CYRUS
Authorized Official - Middle Name:
Authorized Official - Last Name:AKRAMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-768-4646
Mailing Address - Street 1:9204 S COMMERCIAL AVE
Mailing Address - Street 2:SUITE #413
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60617-2197
Mailing Address - Country:US
Mailing Address - Phone:773-768-4646
Mailing Address - Fax:773-734-4774
Practice Address - Street 1:9204 S COMMERCIAL AVE
Practice Address - Street 2:SUITE #413
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-2197
Practice Address - Country:US
Practice Address - Phone:773-768-4646
Practice Address - Fax:773-734-4774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036057226261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036057226Medicaid
ILC45950Medicare UPIN