| Sfz Corporation | |
|
3330 W 177th St Suite 3d Hazel Crest IL 60429-2184 | |
| (708) 957-4278 | |
| Not Available |
| Full Name | Sfz Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 3330 W 177th St, Hazel Crest, Illinois |
| Authorized Official Name and Position | Shahla Zaidi (OWNER) |
| Authorized Official Contact | 7083490055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sfz Corporation 10660 W 143rd St Suite B Orland Park IL 60462-1982 Ph: (708) 349-0055 | Sfz Corporation 3330 W 177th St Suite 3d Hazel Crest IL 60429-2184 Ph: (708) 957-4278 |
| NPI Number | 1356530547 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 05/04/2010 |
| Medicare PECOS PAC ID | 7214955160 |
|---|---|
| Medicare Enrollment ID | O20051109000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356530547 | NPI | - | NPPES |
| 0021623323 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036085180 | Medicaid | IL | |
| 0801779 | Other | IL | PALMETTO RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036085180 (Illinois) | Primary |
| Provider Name | Shahla F Zaidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528013026 PECOS PAC ID: 5092733956 Enrollment ID: I20051110000707 |
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