Healthcare Provider Details

I. General information

NPI: 1992689277
Provider Name (Legal Business Name): SYED QUDDOOS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 W WILSON ST
PALATINE IL
60067-5069
US

IV. Provider business mailing address

3226 RENARD LN
SAINT CHARLES IL
60175-4613
US

V. Phone/Fax

Practice location:
  • Phone: 847-496-4438
  • Fax:
Mailing address:
  • Phone: 331-431-9176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.014294
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: