Provider Demographics
NPI:1144299256
Name:KARIMI, AFSOON (MD)
Entity type:Individual
Prefix:
First Name:AFSOON
Middle Name:
Last Name:KARIMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1617 LAUREL LN
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-5327
Mailing Address - Country:US
Mailing Address - Phone:312-371-7958
Mailing Address - Fax:708-345-8965
Practice Address - Street 1:1617 LAUREL LN
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-5327
Practice Address - Country:US
Practice Address - Phone:312-371-7958
Practice Address - Fax:708-345-8965
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036110016208000000X, 2080C0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080C0008XAllopathic & Osteopathic PhysiciansPediatricsChild Abuse Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036110016Medicaid
IL07215036OtherBCBS
IL07215036OtherBCBS