Healthcare Provider Details

I. General information

NPI: 1720982853
Provider Name (Legal Business Name): TUZM MED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 N NORTHWEST HWY STE 121C
PARK RIDGE IL
60068-1462
US

IV. Provider business mailing address

1580 N NORTHWEST HWY STE 121C
PARK RIDGE IL
60068-1462
US

V. Phone/Fax

Practice location:
  • Phone: 773-225-7589
  • Fax:
Mailing address:
  • Phone: 773-225-7589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: TALIB UL ZAMA MOHD
Title or Position: OWNER
Credential:
Phone: 773-225-7589