MAZEN DIAB, MD, Nephrology TINLEY PARK, IL

Contact Information

MAZEN DIAB, MD

17495 LA GRANGE RD
TINLEY PARK, IL 60487-7581

Phone: 630-873-8875
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Nephrology	207RN0300X	11	Physician/Internal Medicine
Internal Medicine	207R00000X	11	Physician/Internal Medicine
Medical Toxicology	207PT0002X	93	Physician/Emergency Medicine

Indicates primary specialty

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NPI Profile & details for MAZEN DIAB · (Male)

NPI #	`1134436819`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	09/02/2010
Last updated	03/30/2017 - About 9 years ago
Sole proprietor ¹	No
Identifiers	IL License # 036-135420 IL License # 036135420 PA License # MT198421
Hospital affiliation(s)	ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER - (Acute Care) 4440 W 95TH STREET OAK LAWN, IL 60453 PALOS COMMUNITY HOSPITAL - (Acute Care) 12251 SOUTH 80TH AVENUE PALOS HEIGHTS, IL 60463 SILVER CROSS HOSPITAL AND MEDICAL CENTERS - (Acute Care) 1900 SILVER CROSS BLVD NEW LENOX, IL 60451

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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MAZEN DIAB, MD – NPI #1134436819Nephrology

Contact Information

Specialty

Nephrology

Internal Medicine

Medical Toxicology

NPI Profile & details for MAZEN DIAB · (Male)

Reviews for MAZEN DIAB

MAZEN DIAB, MD – NPI #1134436819
Nephrology