Healthcare Provider Details

I. General information

NPI: 1215723200
Provider Name (Legal Business Name): NAJI BOU ZEID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2025
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 S WOOD ST
CHICAGO IL
60612-4325
US

IV. Provider business mailing address

820 S WOOD ST
CHICAGO IL
60612-4325
US

V. Phone/Fax

Practice location:
  • Phone: 312-996-2933
  • Fax: 312-996-2933
Mailing address:
  • Phone: 312-996-2933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number125088843
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: