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NPI Code Detail

MEDICARE: DR. SYED R AKHTER MD

MEDICARE:  DR. SYED R AKHTER  MD
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
1207Q00000XFamily Medicine Physician036109110IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2080193555OTHERILRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
334327200OTHERILMMAI AND ICP
401636488OTHERILBCBS

General Provider Information

NPI Number : 1295787422
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SYED R AKHTER MD
Provider Business Mailing Address
First Line : 3017 N ASHLAND AVE APT 1N
Second Line : R & W MEDICAL CTR
City : CHICAGO
State : IL
Zip : 60657-3143
Country : US
Telephone Number : 773-935-1199
Fax Number : 773-935-1219
Provider Business Practice Location Address
First Line : 3017 N ASHLAND AVE APT 1NRW
Second Line :
City : CHICAGO
State : IL
Zip : 60657-3142
Country : US
Telephone Number : 773-935-1199
Fax Number : 773-935-1219
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 10/14/2020

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