Healthcare Provider Details

I. General information

NPI: 1801715321
Provider Name (Legal Business Name): PULSE CARE 360 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5962 N LINCOLN AVE STE L1
CHICAGO IL
60659-3711
US

IV. Provider business mailing address

5962 N LINCOLN AVE STE L1
CHICAGO IL
60659-3711
US

V. Phone/Fax

Practice location:
  • Phone: 414-334-1733
  • Fax: 888-362-8707
Mailing address:
  • Phone: 414-334-1733
  • Fax: 888-362-8707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: FAAIQ SYED
Title or Position: CEO
Credential:
Phone: 414-334-1733