Individual
DR. NIDA FAHEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 MEMORIAL DR STE 202, DECATUR, IL 62526-1597
(217) 876-2780
(217) 876-2785
Mailing address
2 MEMORIAL DR STE 202, DECATUR, IL 62526-1597
(217) 876-2780
(217) 876-2785
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036166201
IL
2084N0400X
Neurology Physician
71314
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036166201
LICENSE
IL
Enumeration date
04/11/2013
Last updated
11/19/2025
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