Individual
DR. IMAD QAYYUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12255 S 80TH AVE, PALOS HEIGHTS, IL 60463-1270
(708) 923-4400
(708) 923-4421
Mailing address
12251 S 80TH AVE STE 1630, PALOS HEIGHTS, IL 60463-1256
(708) 923-5173
(708) 923-5018
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036.143807
IL
208C00000X
Colon & Rectal Surgery Physician
Primary
036.143807
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036143807
—
IL
Enumeration date
06/02/2011
Last updated
01/23/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us