Healthcare Provider Details

I. General information

NPI: 1851741284
Provider Name (Legal Business Name): DR. TAMEEM MURTUZA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2016
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 W 95TH ST
OAK LAWN IL
60453-2735
US

IV. Provider business mailing address

1395 NW 167TH ST
MIAMI GARDENS FL
33169-5710
US

V. Phone/Fax

Practice location:
  • Phone: 708-261-0831
  • Fax: 773-790-4077
Mailing address:
  • Phone: 305-628-6117
  • Fax: 305-393-5989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036177827
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number25MA10537400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: