Healthcare Provider Details

I. General information

NPI: 1003162249
Provider Name (Legal Business Name): ZAINAB AZIZ DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2012
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 SPRINGFIELD DR STE 220
BLOOMINGDALE IL
60108-2293
US

IV. Provider business mailing address

168 ROSEDALE CT
BLOOMINGDALE IL
60108-1471
US

V. Phone/Fax

Practice location:
  • Phone: 659-266-3963
  • Fax:
Mailing address:
  • Phone: 504-256-5344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number019031448
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number021003213
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: