Provider Demographics
NPI:1366332702
Name:RIZVI, ALIZAY MOONIS (NP)
Entity type:Individual
Prefix:
First Name:ALIZAY
Middle Name:MOONIS
Last Name:RIZVI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17W714 BUTTERFIELD RD APT 105
Mailing Address - Street 2:
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-4347
Mailing Address - Country:US
Mailing Address - Phone:331-307-9257
Mailing Address - Fax:
Practice Address - Street 1:1S376 SUMMIT AVE STE 4B
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-3966
Practice Address - Country:US
Practice Address - Phone:630-953-9009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.032021363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily