Individual
DR. ATHER NIZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5470 W MADISON ST, CHICAGO, IL 60644-4031
(773) 287-7900
(773) 287-5923
Mailing address
3111 W ARMITAGE AVE, CHICAGO, IL 60647-3818
(773) 394-5260
(773) 394-5271
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036059684
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360596842
—
IL
Enumeration date
01/29/2007
Last updated
04/19/2013
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