SHERAZUDDIN QURESHI (NPI# 1043453806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043453806 |
| Entity Type | Individual |
| Full Name | SHERAZUDDIN QURESHI |
| Credential | M.D. |
| Practice Address |
20060 Governors Dr Olympia Fields IL 60461 |
| Mailing Address |
845 S Catherine Ave La Grange IL 60525-2830 |
| Practice Telephone | 8158244406 |
| Mailing Telephone | 6173720304 |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2019-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 036141475 | IL | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
036141475 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | 036141475 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11650 S Il Route 47, Huntley, IL 601429613 | 8478027300 | 8476682647 |
| 25 N Winfield Rd Ste 103, Winfield, IL 601901222 | 6309331600 | |
| 690 E Terra Cotta Ave Ste A, Crystal Lake, IL 60014 | 8154552752 | 8154552789 |
| 300 Randall Rd, Geneva, IL 601344200 | 6302083000 |
| Street Address |
20060 GOVERNORS DR |
| City | OLYMPIA FIELDS |
| State | IL |
| Zip Code | 60461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215148 | Eugene M Tanquilut | Surgery | 20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1029 | 2005-06-15 |
| 1063921534 | Kristen L Forsythe | Registered Nurse | 20060 Governors Dr, Olympia Fields, IL 60461 | 2017-09-27 |
| 1841729035 | Linda Zapchenk | Pain Medicine | 20060 Governors Dr, Olympia Fields, IL 60461 | 2017-06-09 |
| 1437682739 | Jill Cryder | Nurse Practitioner | 20060 Governors Dr, Suite 300, Olympia Fields, IL 60461-1029 | 2017-04-04 |
| 1629435060 | Courtney Stanford Miller | Nurse Practitioner | 20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1029 | 2016-01-15 |
| 1295138857 | A R Chavez Md Sc | Neurological Surgery | 20060 Governors Dr, Suite 300, Olympia Fields, IL 60461-1029 | 2014-09-26 |
| 1114345402 | Savio Manatt Sc | Legal Medicine | 20060 Governors Dr, Suite 204, Olympia Fields, IL 60461-1029 | 2014-04-03 |
| 1619305539 | Carl-erik Larsen | Specialist/Technologist | 20060 Governors Dr, Olympia Fields, IL 60461-1029 | 2013-10-31 |
| 1245662394 | Savio Manatt, Sc | Legal Medicine | 20060 Governors Dr, Suite 204, Olympia Fields, IL 60461-1099 | 2013-07-31 |
| 1639302995 | Adrian Wagner | Physical Therapist | 20060 Governors Dr, Olympia Fields, IL 60461-1029 | 2009-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609372564 | Katherine Gill Haddad | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2018-03-31 |
| 1750886610 | Kim Minh Dang | Student in an Organized Health Care Education/Training Program | 20201 South Crawford, Olympia Fields, IL 60461 | 2018-03-23 |
| 1619484110 | Alexandra N. Douvas | Dentist | 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 | 2018-01-05 |
| 1992258438 | Krystyne Doty | Nurse Practitioner | 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 | 2016-08-02 |
| 1205286747 | Shirlene Umali | Registered Nurse | 20201 South Crawford Ave, Olympia Fields, IL 60461 | 2016-06-15 |
| 1386002590 | Touch of Wholeness Psychological Services, LLC | Psychologist | 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 | 2016-02-02 |
| 1063895357 | David Dardick | Dentist | 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 | 2015-07-04 |
| 1811378623 | Fins Healthcare Agency | Nursing Care | 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 | 2015-06-17 |
| 1285048959 | Garud Ranga Raj | Orthopaedic Surgery | 20817 Alexander St, Olympia Fields, IL 60461 | 2014-06-20 |
| 1811316334 | Brett Hapeman | Emergency Medicine | 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2014-04-11 |
| Find all providers in zip 60461 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992126668 | Vascular Specialists LLC | Surgery | 20060 Governors Dr Ste 102, Olympia Fields, IL 60461-1099 | 2013-12-26 |
| 1043215148 | Eugene M Tanquilut | Surgery | 20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1029 | 2005-06-15 |
| 1033254834 | W.a.surgical Assosciates.s.c | Surgery | 54 Graymoor Ln, Olympia Fields, IL 60461-1218 | 2007-02-20 |
| 1245277169 | Aswath Subram | Surgery | 3700 W 203rd St, #301, Olympia Fields, IL 60461-1180 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396267324 | Congress Vascular Center LLC | Surgery | 41 W Congress Pkwy Fl 1, Chicago, IL 60605-1531 | 2017-07-11 |
| 1043731300 | Elmwood Park Vascular Center LLC | Surgery | 7230 W North Ave Ste 108, Elmwood Park, IL 60707-4261 | 2017-06-27 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1588959548 | Patrick Michael Sullivan Neville | Surgery | 4600 Memorial Dr Ste 120, Belleville, IL 62226-5359 | 2011-06-17 |
| 1235454968 | Margaret Claire Rigamer | Surgery | 1901 W Harrison St Dept Of, Chicago, IL 60612-3714 | 2010-04-06 |
| 1215251541 | John V. White, Md, LLC | Surgery | 8816 W Dempster St, Niles, IL 60714-5109 | 2010-03-15 |
| 1710212733 | Vascular Surgery and Interpretation S.c. | Surgery | 3330 W 177th St Ste 2c1, Hazel Crest, IL 60429-2184 | 2009-10-08 |
| 1538391792 | Usa Vein Clinics of Chicago LLC | Surgery | 4141 Dundee Rd, Northbrook, IL 60062-2129 | 2009-08-20 |
| 1306010731 | Tanq, Inc. | Surgery | 18510 S Marilynn Ct, Mokena, IL 60448-9517 | 2008-04-16 |
| 1063606432 | Mohammed Al-zoubaidi | Surgery | 2 Good Samaritan Way Ste 220, Mount Vernon, IL 62864-2476 | 2007-08-29 |
| Find all providers with the same taxonomy | ||||
| City | OLYMPIA FIELDS |
| Zip Code | 60461 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.