Individual
DR. AZLAN TARIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
7850 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1010
(872) 231-3162
(702) 977-1496
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
336.094099
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036132883
LICENSE NO
IL
01
—
P01418887
RR MEDICARE
IL
Enumeration date
08/28/2009
Last updated
10/03/2025
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