Individual
AZEEM S HALEEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1310 N MAIN, SUITE 200, SANDWICH, IL 60548-1394
(815) 786-9988
(815) 786-9986
Mailing address
1310 N MAIN ST, SANDWICH, IL 60548-1394
(815) 786-9988
(815) 786-9986
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036084000
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036084000
MEDICAID
IL
05
—
036084000
—
IL
01
—
IL6309
MEDICARE GROUP
IL
01
—
IL6309002
MEDICARE INDIVIDUAL
IL
Enumeration date
06/18/2006
Last updated
05/12/2017
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