Healthcare Provider Details

I. General information

NPI: 1164478616
Provider Name (Legal Business Name): SAIMA NAEEM M.D.,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAIMA MEMON

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 06/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 N ROCKTON AVE RMH-ADULT HOSPITALIST SERVICES
ROCKFORD IL
61103-3655
US

IV. Provider business mailing address

2400 N ROCKTON AVE ATT. CHRIS LABONTE, RMH-MED STAFF OFFICE
ROCKFORD IL
61103-3655
US

V. Phone/Fax

Practice location:
  • Phone: 815-971-5000
  • Fax: 815-971-9299
Mailing address:
  • Phone: 815-971-2000
  • Fax: 815-968-9340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number336-075755
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: