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AZIZ FAMILY MEDICAL CENTER INC NPI 1952549586


NPI Information

NPI: 1952549586
Provider Name: AZIZ FAMILY MEDICAL CENTER, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D1096717

Address:
622 N ADDISON RD
VILLA PARK, IL
ZIP 60181
Phone: (630) 279-9600
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AZIZ FAMILY MEDICAL CENTER, INC is a family medicine in Villa Park, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AZIZ FAMILY MEDICAL CENTER, INC NPI is 1952549586. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

622 N ADDISON RD
VILLA PARK, IL
ZIP 60181-419
Phone: (630) 279-9600
Fax: (630) 279-9602

The provider's authorized official is Mohammed Samiruddin .
The authorized official title is Owner - Physician and has the following contact phone number (630) 279-9600.

The CLIA number assigned to this NPI record is 14D1096717 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/4/2009 and was last updated on 12/3/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1IL1993MEDICARE PINILLINOIS

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: 4/28/2024

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