MEDICARE: MAZEN HADID 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
1	207RC0000X	Cardiovascular Disease Physician	036136272	IL
2	207RI0011X	Interventional Cardiology Physician	036-136272	IL

General Provider Information

NPI Number	:	1477704252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAZEN HADID M.D

Provider Business Mailing Address
First Line	:	7447 W TALCOTT AVE STE 200
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-3713
Country	:	US
Telephone Number	:	773-326-2244
Fax Number	:	773-774-4967

Provider Business Practice Location Address
First Line	:	7447 W TALCOTT AVE STE 200
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-3713
Country	:	US
Telephone Number	:	773-326-2244
Fax Number	:	773-774-4967

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2008
Last Update Date	:	06/12/2024

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Directions to “ MAZEN HADID M.D” Practice Location

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