Individual
DR. MARYAM QURESHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
241 W WEAVER RD, SUITE 145D, FORSYTH, IL 62535-9762
(217) 876-5250
(217) 876-5255
Mailing address
2300 N EDWARD ST, GSBLL, DECATUR, IL 62526-4163
(217) 876-2857
(217) 876-2874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125-051850
IL
Other
Enumeration date
05/03/2007
Last updated
09/09/2014
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