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General NPI Number Information
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NPI Number | 1992235865
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Entity Type | Individual
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Provider Name | SYED MUAZ RIZVI MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2017
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 6412 JOLIET RD STE 3
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City | COUNTRYSIDE
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State | IL
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Zip | 60525-4662
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Country | US
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Telephone | 708-246-4502
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Fax |
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Provider Business Mailing Address
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Address Line | 2228 WEBER RD
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City | CREST HILL
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State | IL
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Zip | 60403-0928
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Country | US
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Telephone | 815-729-9900
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 036.153968
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License Number State | IL
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