Healthcare Provider Details

I. General information

NPI: 1073870739
Provider Name (Legal Business Name): ADEEB ZAER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2012
Last Update Date: 07/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 S MICHIGAN AVE
CHICAGO IL
60616-2315
US

IV. Provider business mailing address

4040 N MOZART ST UNIT 2
CHICAGO IL
60618-2780
US

V. Phone/Fax

Practice location:
  • Phone: 800-828-0898
  • Fax:
Mailing address:
  • Phone: 404-803-2638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number036.137678
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: