Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0004X | Dentist Anesthesiologist | 019024338 | IL |
N | 1223D0004X | Dentist Anesthesiologist | 12011109A | IN |
Y | 207L00000X | Anesthesiologist | 019-024338 | IL |
NPI | 1457465841 |
---|---|
Provider Name | Zakaria Messieha |
First Address | Chicago, IL 60612-4305 |
Second Address | Oakbrook Terrace, IL 60181-3904 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 12/05/2020 |