Provider Demographics
NPI:1386626265
Name:ZARIF, SHABBIR (MD)
Entity Type:Individual
Prefix:DR
First Name:SHABBIR
Middle Name:
Last Name:ZARIF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10 KINGSBURY CT
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1721
Mailing Address - Country:US
Mailing Address - Phone:708-945-4923
Mailing Address - Fax:630-468-2044
Practice Address - Street 1:675 W NORTH AVE STE 608
Practice Address - Street 2:PROFESSION BLDG, GOTTLIEB MEMORIAL HOSPITAL, SUITE 608
Practice Address - City:MELROSE PARK
Practice Address - State:IL
Practice Address - Zip Code:60160-1627
Practice Address - Country:US
Practice Address - Phone:708-945-4923
Practice Address - Fax:630-468-2044
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360732312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036073231Medicaid
C41491Medicare UPIN
IL036073231Medicaid