Healthcare Provider Details

I. General information

NPI: 1225455181
Provider Name (Legal Business Name): JEHAD ZAKARIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JEHAD ZAKARIA

II. Dates (important events)

Enumeration Date: 03/27/2014
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5841 S MARYLAND AVE
CHICAGO IL
60637-1443
US

IV. Provider business mailing address

375 N WALL ST STE P530
KANKAKEE IL
60901-3486
US

V. Phone/Fax

Practice location:
  • Phone: 888-824-0200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number036160021
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number036160021
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: