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MAIMANAT NIZAM M.D.
NPI 1265579262
Family Medicine - Adult Medicine in Chicago, IL

Active since January 30, 2007
2001 W 69TH ST, CHICAGO, IL 60636(773) 778-2355(773) 778-2355 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maimanat Nizam M.d. NPPES

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

MAIMANAT NIZAM M.D. (NPI 1265579262) is an individual adult medicine provider in Chicago, Illinois, licensed in Illinois (036-069635) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1265579262
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameMAIMANAT NIZAMCredential: M.D.
Location Address2001 W 69TH STChicago, IL 60636-3262
Mailing Address401 Tamerton PkwyBurr Ridge, IL 60527-6347 · (630) 654-1021
Phone(773) 778-2355
Fax(773) 778-2355
Sole ProprietorYes
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJune 13, 2013
✔ NPI 1265579262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in IL · 036-069635
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
2001 W 69TH ST, Chicago, IL 60636
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Other Identifiers 1

Medicaid036069635IL

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 Maimanat Nizam's NPI number?

The NPI number for Maimanat Nizam is 1265579262. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Maimanat Nizam located?

Maimanat Nizam practices at 2001 W 69th St, Chicago, IL 60636. The listed phone number is (773) 778-2355.

What is Maimanat Nizam's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Maimanat Nizam was last updated on June 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.