Provider Demographics
NPI:1497722706
Name:ZAYYAD, ADEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:ADEL
Middle Name:A
Last Name:ZAYYAD
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 1:8917 SYCAMORE DR
Mailing Address - Street 2:
Mailing Address - City:HICKORY HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60457-1241
Mailing Address - Country:US
Mailing Address - Phone:708-478-2372
Mailing Address - Fax:708-286-6461
Practice Address - Street 1:8917 SYCAMORE DR
Practice Address - Street 2:
Practice Address - City:HICKORY HILLS
Practice Address - State:IL
Practice Address - Zip Code:60457-1241
Practice Address - Country:US
Practice Address - Phone:708-478-2372
Practice Address - Fax:708-286-6461
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-06
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036084904207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036084904Medicaid
IL207579Medicare ID - Type Unspecified
IL036084904Medicaid