Provider Demographics
NPI:1740272608
Name:ZAND, ALIREZA R (MD)
Entity type:Individual
Prefix:
First Name:ALIREZA
Middle Name:R
Last Name:ZAND
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1555 BARRINGTON RD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169
Mailing Address - Country:US
Mailing Address - Phone:847-882-2600
Mailing Address - Fax:847-882-2637
Practice Address - Street 1:1555 BARRINGTON RD
Practice Address - Street 2:SUITE 320
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169
Practice Address - Country:US
Practice Address - Phone:847-882-2600
Practice Address - Fax:847-882-2637
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF69877Medicare UPIN