Abdul-Aziz, Syed

Abdul-Aziz, Syed is an individual health care provider with primary practice located at 180 S 3Rd St Ste 300 , Belleville IL 62220-1952. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Abdul-Aziz, Syed can be contacted via phone (618) 213-7933.

Contact Information

Primary practice address
180 S 3Rd St Ste 300 Belleville IL 62220-1952
Phone: (618) 213-7933
Fax: (618) 213-7364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2005013891 Missouri
Other Service Providers / Specialist 174400000X 036-108734 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036108734 Illinois

Profile Details

NPI number 1114906005
LBN Legal business name Abdul-Aziz, Syed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jan 11th, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114906005 NPPES
Illinois MEDICAID 036-108734
Illinois MEDICAID 1114906005

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