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Individual

ZIA U DURRANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2100 CLEARWATER DR STE 100, OAK BROOK, IL 60523-1931
(630) 607-1000
(630) 607-1002
Mailing address
PO BOX 129, PLAINFIELD, IL 60544-0129
(800) 843-0355
(815) 834-7211

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036046890
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036046890
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01623245
BLUE SHIELD OF ILLINOIS
IL
05
036046890
IL
Enumeration date
08/02/2005
Last updated
02/28/2019
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