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General NPI Number Information
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NPI Number | 1154655785
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Entity Type | Organization
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Legal Business Name | SAYEED NURUL IQBAL,M.D., P.C.
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Dates
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Enumeration Date | 09/29/2009
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Last Update Date | 03/11/2014
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Provider Practice Location Address
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Address Line | 5316 N BOWMANVILLE AVE
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City | CHICAGO
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State | IL
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Zip | 60625-1007
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Country | US
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Telephone | 773-851-0579
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Fax |
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Provider Business Mailing Address
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Address Line | 5316 N BOWMANVILLE AVE
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City | CHICAGO
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State | IL
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Zip | 60625-1007
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Country | US
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Telephone | 312-787-3444
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Fax | 800-771-5870
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAYEED NURUL IQBAL
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Credential | M.D.
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Telephone | 312-787-3444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 036088946
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License Number State | IL
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