Provider Demographics
NPI:1316624042
Name:TERZIOGLU, HAVVA GOKCE (MD)
Entity type:Individual
Prefix:
First Name:HAVVA
Middle Name:GOKCE
Last Name:TERZIOGLU
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 1:857 N HOYNE AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-5368
Mailing Address - Country:US
Mailing Address - Phone:312-560-8085
Mailing Address - Fax:
Practice Address - Street 1:808 N CLEVELAND AVE APT 1406
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-3664
Practice Address - Country:US
Practice Address - Phone:312-560-8085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-04
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125082208207ZC0500X
IL125.082208207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology