Individual
SYEDA NAQVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 MAIN ST, PEORIA, IL 61602-1005
(309) 672-4565
Mailing address
900 MAIN ST, PEORIA, IL 61602-1005
(309) 672-4565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.155230
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
336.122901
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363366652
—
IL
Enumeration date
07/14/2018
Last updated
04/01/2025
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