DR. ABDOL AZARAN


Address: 15614 S Harlem Ave, Suite C, Orland Park, IL 60462-4402
Phone: 7084814200

DR. ABDOL AZARAN (NPI# 1578563912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578563912
Entity Type Individual
Full Name DR. ABDOL AZARAN
Credential M.D.
Practice Address 15614 S Harlem Ave
Suite C
Orland Park
IL 60462-4402
Mailing Address Po Box 219
Matteson
IL 60443-0219
Practice Telephone 7084814200
Practice Fax Number 7084813302
Mailing Telephone 7087475850
Mailing Fax Number 7087479991
Enumeration Date 2005-07-28
Last Update Date 2014-12-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
036058380 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL RAILROAD MEDICARE GROUP CE0254 01
IL MEDICARE GROUP 324853 01
IL RR MEDICARE P00760044 01
IL 036058380 05

Office Location

Street Address 15614 S HARLEM AVE
SUITE C
City ORLAND PARK
State IL
Zip Code 60462-4402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962717314 Otto J. Tor, D.d.s., Ltd. Dentist 15614 S Harlem Ave, Suite A, Orland Park, IL 60462-4402 2010-08-10
1003077413 Otto James Tor Dentist 15614 S Harlem Ave, Suite A, Orland Park, IL 60462-4402 2008-06-18
1508034463 Gary L. Williams Dpm PC Podiatrist 15614 S Harlem Ave, Suite C, Orland Park, IL 60462-4402 2008-02-13
1841470671 John M Curtin, D.o., S.c. Clinic/Center 15614 S Harlem Ave, Suite F, Orland Park, IL 60462-4402 2007-11-08
1790848877 Med-peds Specialists S.c. Pediatrics 15614 S Harlem Ave, Suite D, Orland Park, IL 60462-4402 2006-12-19
1093802712 Alicja Kraska-cwikla Internal Medicine 15614 S Harlem Ave, Suite D, Orland Park, IL 60462-4402 2006-10-06
1750492807 Cynthia W Wong Dentist 15614 S Harlem Ave, Unit B, Orland Park, IL 60462 2006-08-31
1932157104 Irene Michele Goldstein Surgery 15614 S Harlem Ave, Unit F, Orland Park, IL 60462-4402 2006-05-04
1992762645 Tomasz Cwikla Pediatrics 15614 S Harlem Ave, Suite D, Orland Park, IL 60462-4402 2006-04-27
1396711073 Gary L Williams Podiatrist 15614 S Harlem Ave, Suite C, Orland Park, IL 60462-4402 2006-02-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083257331 Stephanie Slager Behavioral Analyst 8430 W 135th St., Orland Park, IL 60462 2019-10-18
1730652587 Nancy Lynch Speech-Language Pathologist 15100 S 94th Ave Orland School District 135, Orlond Park, IL 60462 2019-01-04
1932681327 Alyssa Avant Speech-Language Pathologist 8851 W 151st St, Orland Park, IL 60462 2018-08-31
1922588110 Pain Specialists of Greater Chicago S C Pain Medicine 15300 West Ave Ste C213, Orland Park, IL 60462 2018-08-16
1689168478 S- R&r Counseling Inc. Counselor 9750 Crescent Park Cir Unit 306, Orland Park, IL 60462 2018-06-15
1104372952 Amy Blanks Nurse Anesthetist, Certified Registered 13959 95th Avenue, Orland Park, IL 60462 2016-08-31
1740632454 Anna S Wang Optometrist 14494 John Humphrey Dr, Orland Park, IL 60462 2016-07-06
1750739793 Carolyn Sluis Pharmacist 9352 W 159th Street, Orland Park, IL 60462 2016-06-01
1164882262 Caring Hands Group Home of Il, Inc. Community/Behavioral Health 14475 John Humphrey Dr., Orland Park, IL 60462 2016-03-02
1639539760 Frazierworks Community Care, Inc. In Home Supportive Care 14475 John Humphrey Dr Suite 300, Orland Park, IL 60462 2016-03-02
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City ORLAND PARK
Zip Code 60462

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Dataset Information

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.

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