KENNY BOZORGI M.D. – NPI #1255568333
Obstetrics & Gynecology

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.

KENNY BOZORGI is a physician located in CHICAGO, IL. NPPES has assigned the NPI number 1255568333 to KENNY BOZORGI on June 16, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNY BOZORGI below.

NPI Profile for
KENNY BOZORGI

NPI Number
1255568333
Enumeration Date

(about 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KENNY BOZORGI
Credentials
M.D.
Primary location
409 W HURON ST
SUITE 301
CHICAGO, IL 60654-3431
Phone: (312) 787-7861 Fax: (312) 787-7916
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for KENNY BOZORGI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDILPO85733J9
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VX0201X
- Obstetrics & Gynecology / Gynecologic Oncology (Primary)
IL 036090621

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.