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

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1619267838

Mansooreh Eghtesad, MD is a Pathology in Chicago, Illinois. Qualified in 2005, 21 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
21
Licensed in
IL
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1740 W Taylor St
Chicago, IL 60612-7232
Phone: (866) 600-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 036137150 (IL)

Record details

NPI number1619267838
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 8, 2011
Last updated in NPPESJanuary 18, 2022
Certification dateJanuary 18, 2022
Mailing address303 E Chicago Ave, Chicago, IL 60611-4296

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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