Provider Demographics
NPI:1427078872
Name:ABBAS, ZAREENA (MD)
Entity type:Individual
Prefix:
First Name:ZAREENA
Middle Name:
Last Name:ABBAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5140 N CALIFORNIA AVE STE 505
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-2577
Mailing Address - Country:US
Mailing Address - Phone:630-995-9290
Mailing Address - Fax:773-561-2503
Practice Address - Street 1:5140 N CALIFORNIA AVE STE 505
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-2577
Practice Address - Country:US
Practice Address - Phone:630-995-9290
Practice Address - Fax:773-561-2503
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036068929207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036068929Medicaid
ILC46190Medicare UPIN
ILK23419Medicare ID - Type Unspecified