Healthcare Provider Details

I. General information

NPI: 1144209339
Provider Name (Legal Business Name): PARVEEN NAAZ-IKRAMUDDIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PARVEEN NAAZ M.D.

II. Dates (important events)

Enumeration Date: 01/16/2006
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3315 ALGONQUIN RD SUITE 100
ROLLING MEADOWS IL
60008-3257
US

IV. Provider business mailing address

3401 CONIFER DR
SPRINGFIELD IL
62711-8300
US

V. Phone/Fax

Practice location:
  • Phone: 224-735-3486
  • Fax: 224-764-3011
Mailing address:
  • Phone: 630-469-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number036094415
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: