MEDICARE: NEGIN ZAMYAD

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	183500000X	Pharmacist	051304423	IL

General Provider Information

NPI Number	:	1629732292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEGIN ZAMYAD

Provider Business Mailing Address
First Line	:	225 N COLUMBUS DR APT 5203
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-5233
Country	:	US
Telephone Number	:	872-220-3287
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 N COLUMBUS DR APT 5203
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-5233
Country	:	US
Telephone Number	:	872-220-3287
Fax Number	:

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

Provider Enumeration Date	:	10/28/2021
Last Update Date	:	10/28/2021

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Directions to “ NEGIN ZAMYAD ” Practice Location

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