Individual
DR. SYED ABDUL-AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 S 3RD ST STE 300, BELLEVILLE, IL 62220-1952
(618) 213-7933
(618) 213-7364
Mailing address
180 S 3RD ST STE 300, BELLEVILLE, IL 62220-1952
(618) 213-7933
(618) 213-7364
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036-108734
IL
174400000X
Specialist
2005013891
MO
207RC0000X
Cardiovascular Disease Physician
Primary
036108734
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-108734
—
IL
05
—
1114906005
—
IL
Enumeration date
01/10/2006
Last updated
01/11/2024
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