MEDICARE: SYED BASEER 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
1	208000000X	Pediatrics Physician	036064203	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316988710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYED BASEER MD

Provider Business Mailing Address
First Line	:	3700 W 26TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60623-3824
Country	:	US
Telephone Number	:	773-542-5203
Fax Number	:	773-542-5841

Provider Business Practice Location Address
First Line	:	3700 W 26TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60623-3824
Country	:	US
Telephone Number	:	773-542-5203
Fax Number	:	773-542-5841

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	05/06/2012

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Directions to “ SYED BASEER MD” Practice Location

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