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Organization
SFZ CORPORATION
Active
Organization
SFZ CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHLA ZAIDI M.D. (OWNER)
(708) 349-0055
Entity
Organization
Contact information
Practice address
3330 W 177TH ST, SUITE 3D, HAZEL CREST, IL 60429-2184
(708) 957-4278
Mailing address
10660 W 143RD ST, SUITE B, ORLAND PARK, IL 60462-1982
(708) 349-0055
(708) 460-8031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036085180
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021623323
BLUE CROSS BLUE SHIELD
IL
05
—
036085180
—
IL
01
—
0801779
PALMETTO RR MEDICARE
IL
Enumeration date
10/24/2007
Last updated
05/04/2010
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