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Individual

DR. NAHEED MALIK QAYYUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6827 KINGERY HWY, WILLOW BROOK, IL 60527-5154
(630) 655-1212
(630) 655-6945
Mailing address
820 LAKEVIEW LN, BURR RIDGE, IL 60527-5629
(630) 323-1822
(630) 323-1450

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
036064138
IL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
336028568
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036064138
IL
Enumeration date
06/14/2005
Last updated
02/07/2019
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