Shabiha Zaidi M.d.s.c. | |
776 W Bartlett Rd Bartlett IL 60103-4482 | |
(847) 841-3496 | |
(847) 660-2662 |
Full Name | Shabiha Zaidi M.d.s.c. |
---|---|
Speciality | Internal Medicine |
Location | 776 W Bartlett Rd, Bartlett, Illinois |
Authorized Official Name and Position | Shabiha Zaidi (PRESIDENT) |
Authorized Official Contact | 7736159406 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Shabiha Zaidi M.d.s.c. 776 W Bartlett Rd Bartlett IL 60103-4482 Ph: (847) 841-3496 | Shabiha Zaidi M.d.s.c. 776 W Bartlett Rd Bartlett IL 60103-4482 Ph: (847) 841-3496 |
NPI Number | 1356632566 |
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Provider Enumeration Date | 04/21/2011 |
Last Update Date | 12/12/2024 |
Medicare PECOS PAC ID | 0749468213 |
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Medicare Enrollment ID | O20110705000179 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356632566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036125856 (Illinois) | Primary |
Provider Name | Shabiha Zaidi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235335571 PECOS PAC ID: 8628102472 Enrollment ID: I20100816000101 |
Provider Name | Mazhar Zaidi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093729501 PECOS PAC ID: 6406852664 Enrollment ID: I20171101003353 |
Provider Name | Chelsey Lesniak |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518434463 PECOS PAC ID: 1759626161 Enrollment ID: I20181212003361 |
Provider Name | Corrin Miranda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306370838 PECOS PAC ID: 5698039162 Enrollment ID: I20190619000484 |
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