MEDICARE: SAYEED NURUL IQBAL,M.D., P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center	036088946	IL

General Provider Information

NPI Number	:	1154655785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAYEED NURUL IQBAL,M.D., P.C.

Provider Business Mailing Address
First Line	:	5316 N BOWMANVILLE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-1007
Country	:	US
Telephone Number	:	312-787-3444
Fax Number	:	800-771-5870

Provider Business Practice Location Address
First Line	:	5316 N BOWMANVILLE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-1007
Country	:	US
Telephone Number	:	773-851-0579
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SAYEED NURUL IQBAL
Credential	:	M.D.
Telephone Number	:	312-787-3444

Provider Enumeration Date	:	09/29/2009
Last Update Date	:	03/11/2014

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