Individual
MARYAM ZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 W POLK ST RM 775, CHICAGO, IL 60612-3723
(312) 864-7250
(312) 864-9002
Mailing address
1950 W POLK ST FL 8, CHICAGO, IL 60612-3723
(312) 864-7250
(312) 864-9002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-133337
IL
207RH0000X
Hematology (Internal Medicine) Physician
Primary
036-133337
IL
207RX0202X
Medical Oncology Physician
036-133337
IL
Other
Enumeration date
04/14/2010
Last updated
05/04/2021
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