MEDICARE: SAAD Q AZIZ D.O.

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	207RG0100X	Gastroenterology Physician	336072432	IL
2	207RG0100X	Gastroenterology Physician	02003772A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01443935	OTHER	IL	RAILROAD MEDICARE

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
3	000000693605	OTHER	IN	ANTHEM PROVIDER NUMBER

General Provider Information

NPI Number	:	1629259890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAAD Q AZIZ D.O.

Provider Business Mailing Address
First Line	:	1S280 SUMMIT AVE
Second Line	:	COURT A1
City	:	OAKBROOK TERRACE
State	:	IL
Zip	:	60181-3984
Country	:	US
Telephone Number	:	630-889-9889
Fax Number	:	630-889-8977

Provider Business Practice Location Address
First Line	:	3740 W NORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-4727
Country	:	US
Telephone Number	:	630-889-9889
Fax Number	:	630-889-8977

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

Provider Enumeration Date	:	11/16/2007
Last Update Date	:	01/11/2016

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Directions to “ SAAD Q AZIZ D.O.” Practice Location

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