Individual
YAZAN M ALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3825 HIGHLAND AVE STE 210, DOWNERS GROVE, IL 60515-1561
(630) 873-8889
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 545-6016
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.058451
IL
207RN0300X
Nephrology Physician
Primary
036.134418
IL
Other
Enumeration date
07/02/2010
Last updated
08/03/2023
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