Healthcare Provider Details

I. General information

NPI: 1841680287
Provider Name (Legal Business Name): ADEELA CHEEMA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2015
Last Update Date: 04/02/2021
Certification Date: 04/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5060 N BROADWAY ST
CHICAGO IL
60640-3007
US

IV. Provider business mailing address

2740 W FOSTER AVE STE 310
CHICAGO IL
60625-3547
US

V. Phone/Fax

Practice location:
  • Phone: 773-293-8890
  • Fax: 773-293-8899
Mailing address:
  • Phone: 773-878-8200
  • Fax: 833-719-1178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number036143522
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: