Organization
HAIDER MEDICAL GROUP, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED WASEEM HAIDER M.D. (PRESIDENT)
(815) 788-0468
Entity
Organization
Contact information
Practice address
5911 NORTHWEST HWY, SUITE 101, CRYSTAL LAKE, IL 60014-8065
(815) 788-0468
(815) 788-0489
Mailing address
PO BOX 2036, CRYSTAL LAKE, IL 60039-2036
(815) 788-0468
(815) 788-0489
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036100063
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100063
—
IL
Enumeration date
10/04/2006
Last updated
12/14/2011
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