Individual provider · Type 1 NPI

Maimanat Nizam, MD

Adult Medicine Physician · Chicago, IL

NPI number 1265579262 Active

Practice location

2001 W 69th St
Chicago, IL 60636-3262

Call (773) 778-2355 Map

Fax (773) 778-2355

Mailing address

401 Tamerton Pkwy
Burr Ridge, IL 60527-6347

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X036-069635 (IL)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1265579262

Maimanat Nizam, MD's National Provider Identifier is 1265579262, issued on Jan 30, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Chicago, IL. The record was last updated on Jun 13, 2013.