Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 100154115 | WI |
N | 1223G0001X | General Practice | 100154115 | WI |
N | 213EG0000X | General Practice | 100154115 | WI |
NPI | 1003162249 |
---|---|
Provider Name | Dr. Zainab Aziz |
First Address | Wheeling, IL 60090 |
Second Address | Wheeling, IL 60090-4111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2012 |
Last Update Date | 06/11/2017 |