Provider Demographics
NPI:1215110515
Name:ZAHEER PEDIATRIC ASSOCIATES, SC
Entity type:Organization
Organization Name:ZAHEER PEDIATRIC ASSOCIATES, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SAADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHEER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-802-0022
Mailing Address - Street 1:PO BOX 95
Mailing Address - Street 2:
Mailing Address - City:BOURBONNAIS
Mailing Address - State:IL
Mailing Address - Zip Code:60914-0095
Mailing Address - Country:US
Mailing Address - Phone:815-802-0022
Mailing Address - Fax:815-802-0011
Practice Address - Street 1:70 MEADOWVIEW CTR STE 300
Practice Address - Street 2:
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901-2062
Practice Address - Country:US
Practice Address - Phone:815-802-0022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036093257208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036093257Medicaid
IL4632039OtherBCBS