Individual
SHERAZUDDIN QURESHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20060 GOVERNORS DR, OLYMPIA FIELDS, IL 60461
(815) 824-4406
Mailing address
845 S CATHERINE AVE, LA GRANGE, IL 60525-2830
(617) 372-0304
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036141475
IL
2086S0129X
Vascular Surgery Physician
Primary
036141475
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036141475
STATE LICENSE
IL
Enumeration date
04/09/2009
Last updated
05/06/2019
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