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Individual

ZOYA AZAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1801 W WINDSOR RD, CHAMPAIGN, IL 61822-6217
(217) 366-1257
(217) 366-6110
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-1257
(217) 366-6110

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036170551
IL

Other

Enumeration date
04/09/2021
Last updated
12/03/2024
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