Individual
ABDUL AZIZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2504 WASHINGTON ST, SUITE 601, WAUKEGAN, IL 60085-4983
(847) 662-1112
(847) 662-1239
Mailing address
2504 WASHINGTON ST, SUITE 601, WAUKEGAN, IL 60085-4983
(847) 662-1112
(847) 662-1239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04900953
BCBS PROVIDER NUMBER
IL
Enumeration date
10/24/2005
Last updated
07/08/2007
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