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NPI Code Detail

MEDICARE: DR. AMJAD A ZUREIKAT MD

MEDICARE: DR. AMJAD A ZUREIKAT MD
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
1207R00000XInternal Medicine Physician036061660IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1036061660OTHERILPROFESSIONAL LICENSE
2336026227OTHERILCONTROLLED SUBSTANCE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942255377
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMJAD A ZUREIKAT MD
Provider Business Mailing Address
First Line : 4754 N LINCOLN AVE
Second Line : SUITE 2
City : CHICAGO
State : IL
Zip : 60625-2010
Country : US
Telephone Number : 773-878-4000
Fax Number : 773-283-4177
Provider Business Practice Location Address
First Line : 4754 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-2010
Country : US
Telephone Number : 773-878-4000
Fax Number : 773-283-4177
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 03/07/2023

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