Active NPI
Zulfiqar H Rizvi MD SC
- Internal Medicine Physician
- Palos Heights, IL
National Provider Identifier
1114116373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036025478
- Legal business name
- ZULFIQAR H RIZVI MD SC
- Practice address
- 6450 W College Dr
Palos Heights, IL 60463-1774 - Phone
- (708) 349-0055
- Fax
- (708) 460-8031
- NPI assigned
- Oct 23, 2007
- Last updated
- Apr 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zulfiqar Haider Rizvi, M.D.
- Title
- Owner
- Phone
- (708) 349-0055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036025478 | IL | Primary |
Addresses
Primary practice location
6450 W College Dr
Palos Heights, IL 60463-1774
Mailing address
10660 W 143Rd St
Suite B
Orland Park, IL 60462-1982
Phone (708) 349-0055
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110023244 | Other | IL | RAILROAD MEDICARE |
| 036025478 | Medicaid | IL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209081600000",
"number": "1114116373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10660 W 143RD ST",
"address_2": "SUITE B",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604621982",
"telephone_number": "708-349-0055",
"fax_number": "708-460-8031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6450 W COLLEGE DR",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631774",
"telephone_number": "708-349-0055",
"fax_number": "708-460-8031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZULFIQAR H RIZVI MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-23",
"last_updated": "2008-04-25",
"status": "A",
"authorized_official_last_name": "RIZVI",
"authorized_official_first_name": "ZULFIQAR",
"authorized_official_middle_name": "HAIDER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-349-0055",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036025478",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110023244",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036025478",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.