IndividualActive
Maimanat Nizam, M.D.
NPI 1265579262 · Adult Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1265579262
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 036-069635 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2001 W 69th St
Chicago, IL 60636-3262
Phone: (773) 778-2355
Fax: (773) 778-2355
Approximate (ZIP-level) locationGet directions
Mailing address
401 Tamerton Pkwy
Burr Ridge, IL 60527-6347
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2013-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.