# HAIDER MEDICAL GROUP, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538254693
- **Authorized official:** DR. SYED WASEEM HAIDER M.D. (PRESIDENT)
- **Authorized official phone:** (815) 788-0468

## Contact information

- **Practice address:** 5911 NORTHWEST HWY, SUITE 101, CRYSTAL LAKE, IL 60014-8065
- **Practice address phone:** (815) 788-0468
- **Practice address fax:** (815) 788-0489
- **Mailing address:** PO BOX 2036, CRYSTAL LAKE, IL 60039-2036
- **Mailing address phone:** (815) 788-0468
- **Mailing address fax:** (815) 788-0489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036100063 | IL | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 12/14/2011