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NPI 1588803621

NPI 1588803621 : ZALAM MEDICAL CENTER, LTD : CHICAGO RIDGE, IL

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General NPI Number Information
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    NPI Number           |    1588803621
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    Entity Type          |    Organization 
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    Legal Business Name  |    ZALAM MEDICAL CENTER, LTD 
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Dates
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    Enumeration Date     |    02/12/2009
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    Last Update Date     |    10/26/2024
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Provider Practice Location Address
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    Address Line         |    9830 RIDGELAND AVE STE 2 
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    City                 |    CHICAGO RIDGE
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    State                |    IL
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    Zip                  |    60415-2668
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    Country              |    US
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    Telephone            |    708-599-8000
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    Fax                  |    708-599-8006
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Provider Business Mailing Address
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    Address Line         |    7808 W COLLEGE DR UNIT NE 
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    City                 |    PALOS HEIGHTS
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    State                |    IL
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    Zip                  |    60463-1027
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    Country              |    US
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    Telephone            |    708-599-8000
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    Fax                  |    708-599-8006
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Authorized Official
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    Title or Position    |    PROVIDER
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    Name                 |    DR. NAZEM  ALZALAM 
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    Credential           |    MD
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    Telephone            |    708-599-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    036087470
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    License Number State |    IL
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