DR. NAHEED MALIK QAYYUM (NPI# 1063417343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063417343 |
| Entity Type | Individual |
| Full Name | DR. NAHEED MALIK QAYYUM |
| Credential | M.D. |
| Practice Address |
6827 Kingery Hwy Willow Brook IL 60527-5154 |
| Mailing Address |
820 Lakeview Ln Burr Ridge IL 60527-5629 |
| Practice Telephone | 6306551212 |
| Practice Fax Number | 6306556945 |
| Mailing Telephone | 6303231822 |
| Mailing Fax Number | 6303231450 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2019-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 036064138 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
336028568 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036064138 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11600 S Kedzie Ave, Merrionette Park, IL 608036307 | 6306551212 |
| Street Address |
6827 KINGERY HWY |
| City | WILLOW BROOK |
| State | IL |
| Zip Code | 60527-5154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1386276350 | Valerie Moreno-tucker | Counselor | 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 | 2020-02-07 |
| 1831734763 | Annette Maria Zajac | Occupational Therapist | 16 91st St., Burr Ridge, IL 60527 | 2019-11-14 |
| 1568023109 | Jennifer Rogers | Counselor | 277 83rd St., Ste. D, Burr Ridge, IL 60527 | 2019-06-25 |
| 1710458526 | Dima Sibai Dds PC | Clinic/Center | 940 Plianfield Rd., Willowbrook, IL 60527 | 2018-12-06 |
| 1558850495 | Jeanie C. Lucy PC | Optometrist | 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 | 2018-05-07 |
| 1538664032 | Athletico,ltd | Physical Therapist | 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 | 2018-03-27 |
| 1003314832 | Ams Wellness Pllc | Psychologist | 277 83rd St Ste D, Burr Ridge, IL 60527 | 2018-01-26 |
| 1023564671 | Natasa Manasovska | Dentist | 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 | 2016-09-01 |
| 1669927893 | Marie Ann Korallus | Nurse Practitioner | 7055 High Grove, Burr Ridge, IL 60527 | 2016-08-17 |
| Find all providers in zip 60527 | ||||
| Taxonomy Code | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538261151 | Kimberly Kay Ricaurte | Internal Medicine | 570 Lincoln Ave, Suite 4, Winnetka, IL 60093-2355 | 2006-09-03 |
| 1093794620 | Amee Majmundar | Internal Medicine | 16660 S. 107th Ave., Orland Park, IL 60467 | 2006-01-12 |
| 1518420413 | Alexian Brothers Medical Care Group Nfp | Internal Medicine | 2601 Navistar Dr, Lisle, IL 60532-3661 | 2019-04-09 |
| 1881078616 | Stephannie Davies | Internal Medicine | 450 Dundee Ave, Elgin, IL 60120-4205 | 2015-07-10 |
| 1912200825 | Midwest Allergy Inc | Internal Medicine | 1425 N Mclean Blvd, Suite 100, Elgin, IL 60123-5723 | 2010-12-15 |
| 1356642912 | Midwest Allergy & Asthma Inc | Internal Medicine | 7808 W College Dr, Suite 1sw, Palos Heights, IL 60463-1027 | 2010-11-12 |
| 1801197462 | Midwest Allergy Inc | Internal Medicine | 7808 W College Dr, Suite 1sw, Palos Heights, IL 60463-1027 | 2010-11-12 |
| 1366743924 | Midwest Allergy Inc | Internal Medicine | 10001 W Roosevelt Rd, Suite 304, Westchester, IL 60154-2664 | 2010-11-12 |
| 1689998262 | Nana Sarkoah Fenny | Internal Medicine | 5841 S Maryland Ave, Mc 5044, Room C-104 4, Chicago, IL 60637-1447 | 2010-03-25 |
| 1750522710 | Ghani Medical Center, Md Sc | Internal Medicine | 10001 W Roosevelt Rd, Suite 304, Westchester, IL 60154-2664 | 2009-03-20 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW BROOK |
| Zip Code | 60527 |
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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.