Nasrin Azad, MD

Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Hines, IL

NPI 1831270909 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1831270909
Entity type
Individual (NPI type 1)
Primary specialty
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
Practice address
Hines VA Hospital Roosevelt and 5TH Ave
1422
Hines, IL 60141
Phone
(708) 202-5430
Fax
(708) 202-7078
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X IL Yes

Addresses

Primary practice location

Hines VA Hospital Roosevelt and 5TH Ave
1422
Hines, IL 60141

Mailing address

23723 N Elm Rd
Lincolnshire, IL 60069-2201
Phone (847) 634-9464

Other providers in Hines, IL

All providers in Hines, IL · Endocrinology, Diabetes & Metabolism Physician in Illinois

Sources for this page

Verify at the official NPI Registry.