Provider Demographics
NPI:1346350196
Name:ZAMAN, MOHAMMAD AMIN (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:AMIN
Last Name:ZAMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 BURR RIDGE PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-0864
Mailing Address - Country:US
Mailing Address - Phone:312-818-4650
Mailing Address - Fax:855-618-2629
Practice Address - Street 1:1000 BURR RIDGE PKWY STE 201
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-0864
Practice Address - Country:US
Practice Address - Phone:312-818-4650
Practice Address - Fax:855-618-2629
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009024755207R00000X
IL036.114379207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036114379Medicaid
IL6032157OtherBLUECROSS/BLUESHIELD
IL6032157OtherBLUECROSS/BLUESHIELD
G23818Medicare UPIN