MEDICARE: AMBER KAZI 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	036-128028	IL

General Provider Information

NPI Number	:	1780847020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER KAZI M.D.

Provider Business Mailing Address
First Line	:	10 EXECUTIVE CT STE 5
Second Line	:
City	:	SOUTH BARRINGTON
State	:	IL
Zip	:	60010-9551
Country	:	US
Telephone Number	:	224-655-2487
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 EXECUTIVE CT STE 5
Second Line	:
City	:	SOUTH BARRINGTON
State	:	IL
Zip	:	60010-9551
Country	:	US
Telephone Number	:	224-655-2487
Fax Number	:

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

Provider Enumeration Date	:	07/07/2008
Last Update Date	:	03/07/2018

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