Individual
MR. HASHIM RAZA ZAIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
692 N MAPLE ST, HERSCHER, IL 60941-9785
(815) 426-2020
Mailing address
555 W COURT ST, SUITE 410, KANKAKEE, IL 60901-3664
(815) 802-8740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-116487
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-116487
STATE LICENSE
IL
Enumeration date
08/03/2006
Last updated
03/07/2023
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