Healthcare Provider Details

I. General information

NPI: 1013264035
Provider Name (Legal Business Name): MEHR P IQBAL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PINKY IRSHAD M.D.

II. Dates (important events)

Enumeration Date: 08/08/2012
Last Update Date: 05/24/2023
Certification Date: 05/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1239 WINDHAM PKWY
ROMEOVILLE IL
60446-1608
US

IV. Provider business mailing address

PO BOX 713260
CHICAGO IL
60677-0264
US

V. Phone/Fax

Practice location:
  • Phone: 815-942-6323
  • Fax: 779-210-5541
Mailing address:
  • Phone: 630-469-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number036143551
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberAB2268301-165
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: