Healthcare Provider Details

I. General information

NPI: 1184735565
Provider Name (Legal Business Name): SYED M RAZA M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 LEE ST STE 150
DES PLAINES IL
60016-4554
US

IV. Provider business mailing address

701 LEE ST STE 150
DES PLAINES IL
60016-4554
US

V. Phone/Fax

Practice location:
  • Phone: 224-285-1214
  • Fax: 224-285-1214
Mailing address:
  • Phone: 224-985-1214
  • Fax: 224-285-1214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number036063773
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number036063773
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: