Individual
OSMAN JAVED QAIYUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2402
(708) 369-8223
Mailing address
1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2402
(708) 369-8223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101265331
VA
207R00000X
Internal Medicine Physician
036.159049
IL
207R00000X
Internal Medicine Physician
2015021201
MO
207R00000X
Internal Medicine Physician
D0093444
MD
208M00000X
Hospitalist Physician
0101265331
VA
208M00000X
Hospitalist Physician
Primary
036.159049
IL
208M00000X
Hospitalist Physician
036159049
IL
208M00000X
Hospitalist Physician
MD046778
DC
Other
Enumeration date
07/02/2015
Last updated
07/19/2022
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