Provider Demographics
NPI:1356393557
Name:ASAD ZAMAN MD SC
Entity type:Organization
Organization Name:ASAD ZAMAN MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:ASAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-429-3700
Mailing Address - Street 1:P.O BOX 1033
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-1033
Mailing Address - Country:US
Mailing Address - Phone:630-385-2594
Mailing Address - Fax:630-385-2778
Practice Address - Street 1:6700 167TH ST
Practice Address - Street 2:SUITE 4
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-2859
Practice Address - Country:US
Practice Address - Phone:708-429-3700
Practice Address - Fax:708-429-4460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207R00000X, 207RC0000X
IL208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01622760OtherBLUE SHIELD NUMBER
ILDE8040Medicare PIN
IL110189902Medicare PIN
IL01622760OtherBLUE SHIELD NUMBER
ILK19481Medicare PIN