Healthcare Provider Details

I. General information

NPI: 1033421953
Provider Name (Legal Business Name): ASIM MOHAMMED SAEED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2010
Last Update Date: 04/28/2021
Certification Date: 04/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4332 N. ELSTON AVE.
CHICAGO IL
60641
US

IV. Provider business mailing address

800 W CENTRAL RD
ARLINGTON HEIGHTS IL
60005-2349
US

V. Phone/Fax

Practice location:
  • Phone: 773-354-3500
  • Fax: 773-354-3504
Mailing address:
  • Phone: 877-635-9229
  • Fax: 847-618-3259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number036135803
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036135803
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: