Organization
K QADIR SC
Active
Other names
VALLEY GASTRO SC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHURRAM QADIR MD (PRESIDENT)
(630) 639-7771
Entity
Organization
Contact information
Practice address
2020 OGDEN AVE, SUITE 400, AURORA, IL 60504-5894
(630) 499-2442
(630) 499-2452
Mailing address
2020 OGDEN AVE, SUITE 400, AURORA, IL 60504-5894
(630) 898-3535
(630) 499-2452
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
36114031
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285924555
—
IL
Enumeration date
12/29/2006
Last updated
08/29/2008
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