Individual
SAAD TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036146920
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11017040A
TEMPORARY MEDICAL PERMIT
IN
05
—
PENDING
—
AR
05
—
PENDING
—
MO
Enumeration date
04/05/2013
Last updated
09/08/2023
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