Healthcare Provider Details

I. General information

NPI: 1942349006
Provider Name (Legal Business Name): QUADRI FAMILY PRACTICE, SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 ROYAL BLVD STE 400
ELGIN IL
60123-4718
US

IV. Provider business mailing address

2350 ROYAL BLVD STE 400
ELGIN IL
60123-4718
US

V. Phone/Fax

Practice location:
  • Phone: 847-742-3333
  • Fax: 847-742-9070
Mailing address:
  • Phone: 847-742-3333
  • Fax: 847-742-9070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number36088009
License Number StateIL

VIII. Authorized Official

Name: DR. SYED J QUADRI
Title or Position: OWNER
Credential: M.D.
Phone: 847-742-3333