Healthcare Provider Details

I. General information

NPI: 1083375513
Provider Name (Legal Business Name): NADEEM ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2022
Last Update Date: 01/24/2022
Certification Date: 01/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6430 N BELL AVE APT GS
CHICAGO IL
60645-5193
US

IV. Provider business mailing address

6430 N BELL AVE APT GS
CHICAGO IL
60645-5193
US

V. Phone/Fax

Practice location:
  • Phone: 872-235-2723
  • Fax:
Mailing address:
  • Phone: 872-235-2723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number
License Number State

VIII. Authorized Official

Name: YOUSUF AHMED
Title or Position: PRESIDENT
Credential:
Phone: 872-235-2723