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1073577193

NPI Code Detail

MEDICARE: DR. JAAFER A GOLZAR MD

MEDICARE: DR. JAAFER A GOLZAR MD

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	207RC0000X	Cardiovascular Disease Physician	036115555	IL
2	207RI0011X	Interventional Cardiology Physician	036115555	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	236551	OTHER	IL	MEDICARE GROUP
2	416810	OTHER	IL	MEDICARE GROUP
3	CD8033	OTHER	IL	RAILROAD MEDICARE GROUP PTAN NUMBER
4	CN2703	OTHER	IL	RAILROAD MEDICARE GROUP PTAN NUMBERS
6	236550	OTHER	IL	MEDICARE GROUP
7	P00318032	OTHER	IL	RAILROAD MEDICARE COOK
11	P00321102	OTHER	IL	RAILROAD MEDICARE WILL
12	526200	OTHER	IL	MEDICARE GROUP NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	1508810086	OTHER	IL	GROUP NPI
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	21622931	OTHER	IL	BCBS GROUP PROVIDER NUMBER
10	CI8250	OTHER	IL	PALMETTO GBA GROUP #
13	01621208	OTHER	IL	BLUECROSS BLUE SHIELD
14	1528165768	OTHER	IL	GROUP NPI NUMBER

General Provider Information

NPI Number	:	1073577193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAAFER A GOLZAR MD

Provider Business Mailing Address
First Line	:	29373 NETWORK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1293
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10837 S CICERO AVE STE 200
Second Line	:
City	:	OAK LAWN
State	:	IL
Zip	:	60453-6459
Country	:	US
Telephone Number	:	708-636-7575
Fax Number	:	708-636-6193

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

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	04/10/2025

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1427041243 — DR. BASSAM HABBAL MD,FACC,FCCP
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1902899743 — DR. ALLAN B ZELINGER MD,FACC
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1336132182 — DR. PAUL R SILVERMAN MD,FACC
Practice Location Address:

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1457344194 — DR. HUGO F CUADROS MD,FACC
Practice Location Address:

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1376537357 — DR. MASOOD A QAZI MD,FACC
Practice Location Address:

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Practice Fax: 708-636-6193

Directions to “ DR. JAAFER A GOLZAR MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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