Koosha Medical Center P C
NPI 1164711644 · Family Medicine Physician · Chicago, IL
Koosha Medical Center P C is a Family Medicine Physician organization in Chicago, IL (NPI 1164711644).
Provider details
- NPI number
- 1164711644
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ebrahim Ghodsizadeh, Owner(773) 794-2100
- License
- 0360856071 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-04-05
- Last updated
- 2023-03-07
Frequently asked questions
- What is Koosha Medical Center P C's NPI number?
- Koosha Medical Center P C's National Provider Identifier (NPI) is 1164711644, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Koosha Medical Center P C?
- Koosha Medical Center P C is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Koosha Medical Center P C located?
- Koosha Medical Center P C's practice location on file with NPPES is 4438 N Milwaukee Ave, Chicago, IL 60630-3743.
- What is Koosha Medical Center P C's phone number?
- The practice phone number listed in the NPPES registry for Koosha Medical Center P C is (773) 794-2100.
- Who is the authorized official for Koosha Medical Center P C?
- The authorized official listed on Koosha Medical Center P C's NPPES record is Ebrahim Ghodsizadeh, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Koosha Medical Center P C's NPI active?
- Yes — Koosha Medical Center P C's NPI (1164711644) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.