MEDICARE: DR. SHABBIR ZARIF 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	2084P0800X	Psychiatry Physician	036073231	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386626265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHABBIR ZARIF MD

Provider Business Mailing Address
First Line	:	10 KINGSBURY CT
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1721
Country	:	US
Telephone Number	:	708-945-4923
Fax Number	:	630-468-2044

Provider Business Practice Location Address
First Line	:	675 W NORTH AVE STE 608
Second Line	:	PROFESSION BLDG, GOTTLIEB MEMORIAL HOSPITAL, SUITE 608
City	:	MELROSE PARK
State	:	IL
Zip	:	60160-1627
Country	:	US
Telephone Number	:	708-945-4923
Fax Number	:	630-468-2044

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

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	07/20/2012

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