DR. MAZEN DIAB (NPI# 1134436819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134436819 |
| Entity Type | Individual |
| Full Name | DR. MAZEN DIAB |
| Credential | M.D. |
| Practice Address |
17495 La Grange Rd Tinley Park IL 60487-7581 |
| Mailing Address |
1860 Payshere Cir Chicago IL 60674-4325 |
| Practice Telephone | 6308738875 |
| Mailing Telephone | 6304699200 |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2017-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PT0002X |
Emergency Medicine Specialization: Medical Toxicology |
MT198421 | PA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036135420 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
036-135420 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
17495 LA GRANGE RD |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60487-7581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598750101 | Saoud Loutfi | Internal Medicine | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2005-09-20 |
| 1649885880 | Lizandro Sanchez | Physical Therapist | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2020-09-14 |
| 1336785088 | Katie Lynn Morton | Physical Therapist | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2019-11-18 |
| 1598309940 | Jessica Lynne Fiehler | Nurse Practitioner | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2019-10-29 |
| 1396229043 | Sarah Traverso | Physician Assistant | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2018-09-19 |
| 1043712730 | Jennifer Lynn Meter | Social Worker | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2018-03-08 |
| 1346768199 | Flor Delgado | Physical Therapist | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2017-08-31 |
| 1427594225 | Valerie Paluszak | Physical Therapist | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2017-01-17 |
| 1770027872 | Maria Cesario | Physical Therapist | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2016-12-07 |
| 1386186971 | Nicole Jenette Golak | Physician Assistant | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2016-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850492 | Essential Counseling Group LLC | Social Worker | 17550 W Quail Trail, Tinley Park, IL 60487 | 2020-08-04 |
| 1457972705 | Michelle E Estand | Speech-Language Pathologist | 8200 185th, Tinley Park, Il 60487, Suite A/b, Suite A/b, Suite A/b, Tinley Park, IL 60487 | 2020-04-28 |
| 1659839108 | Jasmine Mccloskey | Behavioral Analyst | Cards, 8505 183rd Suite D, IL 60487 | 2019-03-04 |
| 1669951158 | Christine Marie Cavanaugh | Developmental Therapist | 8384 Dunmore Dr, Tinley Park, IL 60487 | 2018-08-07 |
| 1851810998 | Jeffrey Beck | Counselor | 16243 Haven Ave., Orland Hills, IL 60487 | 2017-09-09 |
| 1730634700 | Liyun Huang | Internal Medicine | 17495 South La Grange Rd, Tinley Park, IL 60487 | 2016-08-19 |
| 1780016162 | Kristin Ann Strausbaugh | Nurse Practitioner | 7300 191st Street, Tinley Park, IL 60487 | 2013-08-07 |
| 1679855597 | Florence Delavega | Pharmacist | 9151 Mansfield Dr, Tinley Park, IL 60487 | 2011-09-16 |
| 1912285685 | Michelle Vansetten | Behavioral Analyst | 8200 W. 185th Street, Suite A/b, Tinley Park, IL 60487 | 2011-07-29 |
| 1417283938 | Haley Ranae Goulson | Physician Assistant | 17495 South Lagrange Road, Tinley Park, IL 60487 | 2009-10-19 |
| Find all providers in zip 60487 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033427794 | Mohamad Adel Abdessamad | Internal Medicine | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2010-09-15 |
| 1275763245 | Abdol H Azaran Md Sc | Internal Medicine | 16650 Harlem Ave, Tinley Park, IL 60477-1847 | 2009-07-23 |
| 1750590147 | Mohammad Rasmi Mataria | Internal Medicine | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154987618 | Kireet Agrawal Incorporated | Internal Medicine | 17680 Kedzie Ave Ste 201, Hazel Crest, IL 60429-2088 | 2019-05-10 |
| 1235627332 | Chicago Nephrology Associates, LLC | Internal Medicine | 3023 N Clark St #302, Chicago, IL 60657 | 2018-04-25 |
| 1619328820 | Nay Seif | Internal Medicine | 675 N Saint Clair St Ste 250, Chicago, IL 60611-5975 | 2016-06-29 |
| 1447611389 | Skyline Medical Associates LLC | Internal Medicine | 100 E 14th St Apt 1907, Chicago, IL 60605-3673 | 2016-03-18 |
| 1013301605 | Anand Ramadorai | Internal Medicine | 1550 N Northwest Hwy Ste 303, Park Ridge, IL 60068-1460 | 2015-03-23 |
| 1578955654 | R. Gandhi Md S C | Internal Medicine | 602 N East Ave, Oak Park, IL 60302-1716 | 2015-02-25 |
| 1619389715 | Kidney Care Center Olympia Fields LLC | Internal Medicine | 3302 Vollmer Rd, Olympia Fields, IL 60461-1179 | 2014-05-22 |
| 1548687783 | Salim Mujais | Internal Medicine | 2742 The Mews, Northbrook, IL 60062-2617 | 2014-03-26 |
| 1972936581 | Marshall David Lindheimer | Internal Medicine | 5807 S Dorchester Ave, 5e, Chicago, IL 60637-1729 | 2013-08-19 |
| 1649616822 | Bun Siu L. Co | Internal Medicine | 838 Highland Rd., Frankfort, IL 60423 | 2013-05-15 |
| Find all providers with the same taxonomy | ||||
| City | TINLEY PARK |
| Zip Code | 60487 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.