Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 016004893 | IL |
Y | 222Z00000X | Podiatrist | 016004893 | IL |
N | 213EP1101X | Primary Podiatric Medicine | 016004893 | IL |
N | 111NR0200X | Radiology | 016004893 | IL |
N | 213ER0200X | Radiology | 016004893 | IL |
N | 2081S0010X | Sports Medicine | 016004893 | IL |
N | 213ES0000X | Sports Medicine | 016004893 | IL |
N | 213ES0103X | Foot & Ankle Surgery | 016004893 | IL |
NPI | 1033282280 |
---|---|
Provider Name | Zehra Hyderi |
First Address | Algonquin, IL 60102-5470 |
Second Address | Algonquin, IL 60102-5470 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 31/01/2017 |