Azad, Shahnaz
Azad, Shahnaz is an sole proprietor health care provider with primary practice located at 20121 Crawford Ave , Olympia Fields IL 60461-1009. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Azad, Shahnaz can be contacted via phone (708) 704-6787.Contact Information
Primary practice address
20121 Crawford Ave
Olympia Fields IL 60461-1009
Phone: (708) 704-6787
Fax: (708) 679-2551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 036105849 | Illinois |
Profile Details
| NPI number | 1922062694 |
|---|---|
| LBN Legal business name | Azad, Shahnaz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Dec 25th, 2021 - about 3 years 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 | 1922062694 | NPPES |
| Illinois | MEDICAID | 036105849 |
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