Provider Demographics
NPI:1730351115
Name:JABBAR, ZAID WALEED (MD)
Entity type:Individual
Prefix:DR
First Name:ZAID
Middle Name:WALEED
Last Name:JABBAR
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:PO BOX 713260
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-1260
Mailing Address - Country:US
Mailing Address - Phone:630-469-9200
Mailing Address - Fax:
Practice Address - Street 1:3011 BUTTERFIELD RD STE 240
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-3132
Practice Address - Country:US
Practice Address - Phone:630-348-3840
Practice Address - Fax:630-348-3841
Is Sole Proprietor?:No
Enumeration Date:2008-03-26
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036119712207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL9919630OtherBCBS
IL036119712 1Medicaid
R01529Medicare PIN
ILP00621168Medicare PIN