MAIMANAT NIZAM M.D. NPI 1265579262

NPI Information

  • NPI: 1265579262
  • Provider Name: MAIMANAT NIZAM, M.D.
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Individual
  • Address: 2001 W 69TH ST
    CHICAGO, IL
    ZIP 60636
  • Phone: (773) 778-2355

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NPI Details

Maimanat Nizam, M.D. is an adult medicine family medicine in Chicago, IL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. Maimanat Nizam, M.D. NPI is 1265579262. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2001 W 69TH ST
CHICAGO, IL
ZIP 60636-262
Phone: (773) 778-2355
Fax: (773) 778-2355

The enumeration date for this NPI number is 1/30/2007 and was last updated on 6/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult Medicine036-069635ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036069635MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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