Active NPI
SFZ Corporation
- Internal Medicine Physician
- Hazel Crest, IL
National Provider Identifier
1356530547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036085180
- Legal business name
- SFZ CORPORATION
- Practice address
- 3330 W 177TH St
Suite 3D
Hazel Crest, IL 60429-2184 - Phone
- (708) 957-4278
- NPI assigned
- Oct 24, 2007
- Last updated
- May 4, 2010
- 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
- Dr. Shahla Zaidi, M.D.
- Title
- Owner
- Phone
- (708) 349-0055
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036085180 | IL | Primary |
Addresses
Primary practice location
3330 W 177TH St
Suite 3D
Hazel Crest, IL 60429-2184
Mailing address
10660 W 143Rd St
Suite B
Orland Park, IL 60462-1982
Phone (708) 349-0055
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021623323 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036085180 | Medicaid | IL | |
| 0801779 | Other | IL | PALMETTO RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Hazel Crest, IL
- NPI 1528013026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272931200000",
"number": "1356530547",
"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": "3330 W 177TH ST",
"address_2": "SUITE 3D",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292184",
"telephone_number": "708-957-4278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SFZ CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-24",
"last_updated": "2010-05-04",
"status": "A",
"authorized_official_last_name": "ZAIDI",
"authorized_official_first_name": "SHAHLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-349-0055",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036085180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0021623323",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036085180",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO RR MEDICARE",
"identifier": "0801779",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.