MEDICARE: DR. ZAREENA ABBAS M.D., S.C.

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	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	31601507	OTHER	IL	BLUE CROSS BLUE SHIELD
2	01635322	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1861670762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. ZAREENA ABBAS M.D., S.C.

Provider Business Mailing Address
First Line	:	5140 N CALIFORNIA AVE STE 505
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-2577
Country	:	US
Telephone Number	:	773-561-5000
Fax Number	:	773-561-2503

Provider Business Practice Location Address
First Line	:	5140 N CALIFORNIA AVE STE 505
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-2577
Country	:	US
Telephone Number	:	773-561-5000
Fax Number	:	773-561-2503

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. DANIEL BROWN
Credential	:
Telephone Number	:	630-995-9290

Provider Enumeration Date	:	02/04/2008
Last Update Date	:	07/21/2025

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