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Individual

DR. AMJAD A ZUREIKAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4754 N LINCOLN AVE, CHICAGO, IL 60625-2010
(773) 878-4000
(773) 283-4177
Mailing address
4754 N LINCOLN AVE, SUITE 2, CHICAGO, IL 60625-2010
(773) 878-4000
(773) 283-4177

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036061660
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036061660
PROFESSIONAL LICENSE
IL
05
036061660
IL
01
336026227
CONTROLLED SUBSTANCE
IL
Enumeration date
05/24/2006
Last updated
03/07/2023
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