Healthcare Provider Details

I. General information

NPI: 1780711408
Provider Name (Legal Business Name): SARA JAFRI QAZI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2507 N RICHMOND RD STE A
MCHENRY IL
60051-5407
US

IV. Provider business mailing address

4 ROCK RIVER CT
ALGONQUIN IL
60102-6836
US

V. Phone/Fax

Practice location:
  • Phone: 815-344-2300
  • Fax: 815-344-8957
Mailing address:
  • Phone: 773-936-4142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036125534
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101241073
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: