Healthcare Provider Details
I. General information
NPI: 1295083210
Provider Name (Legal Business Name): BILAL ZAKRIA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/23/2012
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
101 MADISON ST
OAK PARK IL
60302-4278
US
IV. Provider business mailing address
600 N FAIRBANKS CT UNIT 3106
CHICAGO IL
60611-5865
US
V. Phone/Fax
- Phone: 708-486-2700
- Fax:
- Phone: 347-885-9936
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 036157814 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 036157814 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: