Provider Demographics
NPI:1467614081
Name:A & M MEDICAL SERVICE CO LTD
Entity Type:Organization
Organization Name:A & M MEDICAL SERVICE CO LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MEHRUNNISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZARIF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-620-6666
Mailing Address - Street 1:3525 CASS CT
Mailing Address - Street 2:SUITE 410
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2633
Mailing Address - Country:US
Mailing Address - Phone:630-620-6666
Mailing Address - Fax:
Practice Address - Street 1:1S161 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-3904
Practice Address - Country:US
Practice Address - Phone:630-620-6666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360448462080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036044846Medicaid