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Individual

SAREER ZIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
201 S 14TH ST, HERRIN, IL 62948-3631
(618) 942-2171
(618) 351-4929
Mailing address
201 S 14TH ST, HERRIN, IL 62948-3631
(618) 942-2171
(618) 988-6166

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036133287
IL
207R00000X
Internal Medicine Physician
P25862
MD
208M00000X
Hospitalist Physician
Primary
036.133287
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
214881
MULTISPECIALTY GROUP PTAN
IL
Enumeration date
07/16/2010
Last updated
03/11/2019
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