Zaza, Tareq

Zaza, Tareq is an individual health care provider with primary practice located at 751 N Rutledge St Ste 1100, Springfield IL 62702-4968. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Zaza, Tareq can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
751 N Rutledge St Ste 1100 Springfield IL 62702-4968
Phone: (217) 545-8000
Fax: (217) 545-4734
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036-131045 Illinois
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 036-131045 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036-131045 Illinois

Profile Details

NPI number 1447287412
LBN Legal business name Zaza, Tareq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Oct 8th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447287412 NPPES
Illinois MEDICAID 036131045

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