Provider Demographics
NPI:1346414307
Name:AZIZ, NAAZ FATIMA (MD)
Entity Type:Individual
Prefix:
First Name:NAAZ
Middle Name:FATIMA
Last Name:AZIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NAAZ
Other - Middle Name:FATIMA
Other - Last Name:ZAKRIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1546 COUNTRY LN
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-4703
Mailing Address - Country:US
Mailing Address - Phone:773-456-2015
Mailing Address - Fax:
Practice Address - Street 1:2070 N IL-50 #500
Practice Address - Street 2:
Practice Address - City:BOURBONNAIS
Practice Address - State:IL
Practice Address - Zip Code:60914
Practice Address - Country:US
Practice Address - Phone:773-236-4094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.127587207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine