Physician Office

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036125856 Issued in IL

Legal business name

PHYSICIAN OFFICE

Practice address

321 South Barrington Road
Schaumburg, IL 60193

Phone

(586) 797-9505

NPI assigned

Mar 11, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shabiha Zaidi, M.D.

Title

President

Phone

(586) 797-9505

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1407154602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BRIDLE PATH LN",
            "city": "FOX RIVER GROVE",
            "state": "IL",
            "postal_code": "600211241",
            "telephone_number": "586-797-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SOUTH BARRINGTON ROAD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60193",
            "telephone_number": "586-797-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "ZAIDI",
        "authorized_official_first_name": "SHABIHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-797-9505",
        "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": "036125856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Schaumburg, IL
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.