Provider Demographics
NPI:1619535945
Name:ZAIN-ABDEEN, AWFA (MD)
Entity Type:Individual
Prefix:DR
First Name:AWFA
Middle Name:
Last Name:ZAIN-ABDEEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AWFA
Other - Middle Name:
Other - Last Name:ZAIN ELABIDIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2350 W BELLE PLAINE AVE # 1R
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-2941
Mailing Address - Country:US
Mailing Address - Phone:513-386-4448
Mailing Address - Fax:
Practice Address - Street 1:836 W WELLINGTON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5147
Practice Address - Country:US
Practice Address - Phone:773-975-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-02
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01091542A207R00000X, 208M00000X
390200000X
IL036.161120207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program