EISA RAZZAK
NPI 1174412969
Student in an Organized Health Care Education/Training Program in Maywood, IL

Active since June 28, 2025
2160 S 1ST AVE, MAYWOOD, IL 60153(708) 216-7766 Get Directions Write a Review

NPPES record last updated: June 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eisa Razzak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EISA RAZZAK (NPI 1174412969) is an individual student in an organized health care education/training program in Maywood, Illinois and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1174412969
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameEISA RAZZAK
Location Address2160 S 1ST AVEMaywood, IL 60153-3328
Mailing Address2160 S 1st AveMaywood, IL 60153-3328
Sole ProprietorNo
Enumeration DateJune 28, 2025
NPPES CertifiedJune 28, 2025
NPI 1174412969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2160 S 1ST AVE, Maywood, IL 60153

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eisa Razzak's NPI number?

The NPI number for Eisa Razzak is 1174412969. It was assigned to this individual provider in the NPPES registry on June 28, 2025.

Where is Eisa Razzak located?

Eisa Razzak practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (708) 216-7766.

What is Eisa Razzak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Eisa Razzak was last updated on June 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.