Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Illinois Surgeon Association LLC

Organization Registered Dietitian · NPI 1649578105

Illinois Surgeon Association LLC is a Registered Dietitian in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

60 E Delaware Pl Fl 15
Chicago, IL 60611-1676
Phone: (312) 787-2998
Fax: (312) 787-7259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 164.004756 (IL)

Record details

NPI number1649578105
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mandan Farahati — Coo · (312) 787-2998
Other names Isa Doh
NPI enumeratedMarch 8, 2011
Last updated in NPPESApril 14, 2011
Mailing addressPo Box 10523, Chicago, IL 60610-0523

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