Healthcare Provider Details

I. General information

NPI: 1417996729
Provider Name (Legal Business Name): KASHIF M ZAHEER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 10/13/2022
Certification Date: 10/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 W 95TH ST STE 220
OAK LAWN IL
60453-2280
US

IV. Provider business mailing address

6700 W 95TH ST STE 220
OAK LAWN IL
60453-2280
US

V. Phone/Fax

Practice location:
  • Phone: 708-974-7300
  • Fax:
Mailing address:
  • Phone: 708-974-7300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036115611
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036115611
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: