Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 01052399A | IN |
Y | 2080P0202X | Pediatric Cardiologist | 036100081 | IL |
N | 2080P0202X | Pediatric Cardiologist | 73681 | MA |
NPI | 1194783910 |
---|---|
Provider Name | Ziyad M Hijazi |
First Address | Chicago, IL 60612-3833 |
Second Address | Chicago, IL 60612-3833 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2006 |
Last Update Date | 23/09/2008 |