Provider Demographics
NPI:1629259890
Name:AZIZ, SAAD Q (DO)
Entity Type:Individual
Prefix:
First Name:SAAD
Middle Name:Q
Last Name:AZIZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1S280 SUMMIT AVE
Mailing Address - Street 2:COURT A1
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3984
Mailing Address - Country:US
Mailing Address - Phone:630-889-9889
Mailing Address - Fax:630-889-8977
Practice Address - Street 1:3740 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-4727
Practice Address - Country:US
Practice Address - Phone:630-889-9889
Practice Address - Fax:630-889-8977
Is Sole Proprietor?:No
Enumeration Date:2007-11-16
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL336072432207RG0100X
IN02003772A207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201004620Medicaid
ILP01443935OtherRAILROAD MEDICARE
IN000000693605OtherANTHEM PROVIDER NUMBER
IN000000693605OtherANTHEM PROVIDER NUMBER
IN201004620Medicaid