Provider Demographics
NPI:1366456022
Name:CHOWDHURY, ZAKI HOSSAIN (MD)
Entity Type:Individual
Prefix:
First Name:ZAKI
Middle Name:HOSSAIN
Last Name:CHOWDHURY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MD ZOGLU
Other - Middle Name:HOSSAIN
Other - Last Name:CHOWDHURY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3020 35TH ST
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2638
Mailing Address - Country:US
Mailing Address - Phone:618-731-0188
Mailing Address - Fax:630-541-7534
Practice Address - Street 1:3020 35TH ST
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-2638
Practice Address - Country:US
Practice Address - Phone:618-731-0188
Practice Address - Fax:630-541-7534
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036109297207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036109297Medicaid
H87192Medicare UPIN
IL036109297Medicaid