Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036-133337 | IL |
N | 111NI0900X | Internist | 036-133337 | IL |
Y | 207RH0000X | Hematologist | 036-133337 | IL |
N | 207RX0202X | Medical Oncology | 036-133337 | IL |
NPI | 1083930101 |
---|---|
Provider Name | Maryam Zia |
First Address | Chicago, IL 60612-3723 |
Second Address | Chicago, IL 60612-3723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2010 |
Last Update Date | 04/05/2021 |