Organization Active NPI

Hosam Zakariya M.D.,S.C.

  • Clinic/Center
  • Libertyville, IL
National Provider Identifier
1912181744
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HOSAM ZAKARIYA M.D.,S.C.
Practice address
755 S Milwaukee Ave
Suite 181
Libertyville, IL 60048-3253
Phone
(847) 247-0560
Fax
(847) 816-1262
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Dr. Hosam Yousif Zakariya, M.D.
Title
Physician
Phone
(847) 247-0560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X IL Primary

Addresses

Primary practice location

755 S Milwaukee Ave
Suite 181
Libertyville, IL 60048-3253

Mailing address

755 S Milwaukee Ave
Suite 181
Libertyville, IL 60048-3253
Phone (847) 247-0560

National Provider Directory

National Provider Directory

Locations

755 S Milwaukee Ave
Ste 181
Libertyville, IL 60048
Phone (847) 816-1228

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1912181744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 S MILWAUKEE AVE",
            "address_2": "SUITE 181",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483253",
            "telephone_number": "847-247-0560",
            "fax_number": "847-816-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S MILWAUKEE AVE",
            "address_2": "SUITE 181",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483253",
            "telephone_number": "847-247-0560",
            "fax_number": "847-816-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSAM ZAKARIYA M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "ZAKARIYA",
        "authorized_official_first_name": "HOSAM",
        "authorized_official_middle_name": "YOUSIF",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-247-0560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.