Provider Demographics
NPI:1760636146
Name:OZCAN, CEVHER (MD)
Entity Type:Individual
Prefix:DR
First Name:CEVHER
Middle Name:
Last Name:OZCAN
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 1:5841 S MARYLAND AVE
Mailing Address - Street 2:MC 6080
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637-1447
Mailing Address - Country:US
Mailing Address - Phone:773-702-2559
Mailing Address - Fax:773-702-8875
Practice Address - Street 1:5841 S MARYLAND AVE
Practice Address - Street 2:MC 6080
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1447
Practice Address - Country:US
Practice Address - Phone:773-702-2559
Practice Address - Fax:773-702-8875
Is Sole Proprietor?:No
Enumeration Date:2008-11-11
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036136520207RC0001X, 207RC0000X
MA239223207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease