Provider Demographics
NPI:1083807473
Name:ALI N. SHARIATZADEH, M.D..,S.C.
Entity Type:Organization
Organization Name:ALI N. SHARIATZADEH, M.D..,S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:NAJAFI
Authorized Official - Last Name:SHARIATZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-368-0006
Mailing Address - Street 1:880 W CENTRAL RD
Mailing Address - Street 2:SUITE 5500
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-2355
Mailing Address - Country:US
Mailing Address - Phone:847-368-0006
Mailing Address - Fax:847-368-0008
Practice Address - Street 1:880 W CENTRAL RD
Practice Address - Street 2:SUITE 5500
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-2355
Practice Address - Country:US
Practice Address - Phone:847-368-0006
Practice Address - Fax:847-368-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36047290208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK05350Medicare UPIN
IL208728Medicare PIN