Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Noor Tazudeen, MD

Individual provider Dermatology Physician · NPI 1366857286

Dr. Noor Tazudeen, MD is a Dermatology in Chicago, Illinois. Qualified in 2014, 12 years ago. Practices with Cook County, a 787-clinician group and accepts Medicare assignment. Licensed in Illinois, Indiana and Wisconsin.

Years since qualifying
12
Licensed in
IL, IN, WI
In the registry since
2014
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4700 N Marine Dr Ste 220
Chicago, IL 60640-7972
Phone: (608) 287-2658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036.146214 (IL)
Dermatology Physician Taxonomy 207N00000X · Licence 5930-851 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125065910 (IL)
Dermatology Physician Taxonomy 207N00000X · Licence 01084857A (IN)

Record details

NPI number1366857286
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2014
Last updated in NPPESNovember 6, 2020
Certification dateNovember 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Cook County — 787 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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