Organization
INFECTIOUS DISEASE SPECIALISTS LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEHNAM ZAKHIREH M.D. (PRESIDENT)
(708) 333-3113
Entity
Organization
Contact information
Practice address
16532 OAK PARK AVE, SUITE 101, TINLEY PARK, IL 60477-1918
(708) 333-3113
(708) 333-8991
Mailing address
PO BOX 729, MATTESON, IL 60443-0729
(708) 862-7674
(708) 862-1781
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3160176976
BCBSIL GROUP NUMBER
—
01
—
CM7411
RR MEDICARE GROUP NUMBER
IL
Enumeration date
10/24/2005
Last updated
10/28/2015
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