Basic Information
| Provider Information | |||||||||
| NPI: | 1588029128 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ASAD ZAMAN MD 20 SC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1033 | ||||||||
| Address2: | |||||||||
| City: | YORKVILLE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 605600896 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6303852594 | ||||||||
| FaxNumber: | 6303852778 | ||||||||
| Practice Location | |||||||||
| Address1: | 6700 167TH ST STE 4 | ||||||||
| Address2: | |||||||||
| City: | TINLEY PARK | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604772078 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7084293700 | ||||||||
| FaxNumber: | 7084294460 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/28/2015 | ||||||||
| LastUpdateDate: | 06/20/2018 | ||||||||
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| AuthorizedOfficialLastName: | ZAMAN | ||||||||
| AuthorizedOfficialFirstName: | ASAD | ||||||||
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| AuthorizedOfficialTitleorPosition: | MD | ||||||||
| AuthorizedOfficialTelephone: | 6303852594 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 036090371 | IL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.