Individual
ASAD U. ZAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6700 167TH ST, SUITE 4, TINLEY PARK, IL 60477-2859
(708) 429-3700
(708) 429-4460
Mailing address
6700 167TH ST, SUITE 4, TINLEY PARK, IL 60477-2859
(708) 429-3700
(708) 429-4460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-090371
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622760
BLUE SHIELD NUMBER
IL
05
—
036090371
—
IL
01
—
TAX ID
36-4295605
IL
Enumeration date
05/16/2006
Last updated
12/07/2011
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