Provider Demographics
NPI:1417996729
Name:ZAHEER, KASHIF M (MD)
Entity Type:Individual
Prefix:DR
First Name:KASHIF
Middle Name:M
Last Name:ZAHEER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 W 95TH ST STE 220
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2280
Mailing Address - Country:US
Mailing Address - Phone:708-974-7300
Mailing Address - Fax:
Practice Address - Street 1:6700 W 95TH ST STE 220
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2280
Practice Address - Country:US
Practice Address - Phone:708-974-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036115611208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036115611Medicaid
IL553180Medicare ID - Type UnspecifiedMEDICARE GROUP #
ILK28532Medicare ID - Type Unspecified
ILI54594Medicare UPIN
ILP00334630Medicare ID - Type UnspecifiedRR INDIVIDUAL #
ILCC5050Medicare ID - Type UnspecifiedRR MEDICARE GROUP #
ILK28531Medicare ID - Type Unspecified