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:
Health care specialties
Specialty | Code | License # | 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 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114906005 | NPPES |
Illinois | MEDICAID | 036-108734 | |
Illinois | MEDICAID | 1114906005 |
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