MEDICARE: DR. YOSRY N MEZYED 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	207R00000X	Internal Medicine Physician	036158016	IL
2	208M00000X	Hospitalist Physician	036158016	IL

General Provider Information

NPI Number	:	1881155760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YOSRY N MEZYED MD

Provider Business Mailing Address
First Line	:	12251 S 80TH AVE
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1290
Country	:	US
Telephone Number	:	708-923-4000
Fax Number	:	708-923-5859

Provider Business Practice Location Address
First Line	:	12251 S 80TH AVE
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1290
Country	:	US
Telephone Number	:	708-923-4000
Fax Number	:	708-923-5859

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

Provider Enumeration Date	:	03/25/2019
Last Update Date	:	01/13/2026

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