Individual
DR. JAVERIA SHAHEEN QURESHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
208 KACIE CT, WESTMONT, IL 60559-3299
(630) 297-8654
Mailing address
208 KACIE CT, WESTMONT, IL 60559-3299
(630) 460-7374
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036.138255
IL
208600000X
Surgery Physician
04-42535
KS
208600000X
Surgery Physician
12457C
WY
208600000X
Surgery Physician
2010-01646
NC
208600000X
Surgery Physician
61006642
WA
208600000X
Surgery Physician
MC-0301
ID
208600000X
Surgery Physician
MD-46586
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCO136A
MEDICARE PTAN
NC
Enumeration date
05/31/2007
Last updated
07/01/2020
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