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NPI Code Detail

MEDICARE: DR. NADER AZIZ M.D.

MEDICARE:  DR. NADER  AZIZ  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0363978526IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396829727
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NADER AZIZ M.D.
Provider Business Mailing Address
First Line : 22285 N PEPPER RD STE 302
Second Line :
City : LAKE BARRINGTON
State : IL
Zip : 60010-2541
Country : US
Telephone Number : 847-726-0774
Fax Number : 847-277-1549
Provider Business Practice Location Address
First Line : 22285 N PEPPER RD STE 302
Second Line :
City : LAKE BARRINGTON
State : IL
Zip : 60010-2541
Country : US
Telephone Number : 847-726-0774
Fax Number : 847-277-1549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 10/11/2022

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Directions to “ DR. NADER AZIZ M.D.” Practice Location

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