Provider Demographics
NPI:1437841228
Name:ZAMAN, ZARIF (MGCS, LCGC)
Entity Type:Individual
Prefix:
First Name:ZARIF
Middle Name:
Last Name:ZAMAN
Suffix:
Gender:M
Credentials:MGCS, LCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 W 95TH ST STE 203
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2657
Mailing Address - Country:US
Mailing Address - Phone:708-684-1570
Mailing Address - Fax:
Practice Address - Street 1:4400 W 95TH ST STE 203
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2657
Practice Address - Country:US
Practice Address - Phone:708-684-1570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL170300000X170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS