MEDICARE: DR. ZABRIN INAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	37333020	WI
2	2084P0800X	Psychiatry Physician	30085	AZ
3	2084P0800X	Psychiatry Physician		IL

General Provider Information

NPI Number	:	1033206800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZABRIN INAN M.D.

Provider Business Mailing Address
First Line	:	1000 NORTH LAKE SHORE DRIVE
Second Line	:	308
City	:	CHICAGO
State	:	IL
Zip	:	60611-1312
Country	:	US
Telephone Number	:	312-952-3054
Fax Number	:	312-337-0859

Provider Business Practice Location Address
First Line	:	680 NORTH LAKE SHORE DRIVE
Second Line	:	917B
City	:	CHICAGO
State	:	IL
Zip	:	60611-1312
Country	:	US
Telephone Number	:	312-286-1785
Fax Number	:	312-337-0859

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	07/08/2007

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