Individual
SHAHNAZ AZAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20121 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1009
(708) 704-6787
(708) 679-2551
Mailing address
20121 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1009
(708) 704-6787
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036105849
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105849
—
IL
Enumeration date
04/12/2006
Last updated
12/25/2021
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