MEDICARE: NADEEM ENTERPRISES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory
2	246RM2200X	Medical Laboratory Technician

General Provider Information

NPI Number	:	1083375513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NADEEM ENTERPRISES INC

Provider Business Mailing Address
First Line	:	6430 N BELL AVE APT GS
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-5193
Country	:	US
Telephone Number	:	872-235-2723
Fax Number	:

Provider Business Practice Location Address
First Line	:	6430 N BELL AVE APT GS
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-5193
Country	:	US
Telephone Number	:	872-235-2723
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YOUSUF AHMED
Credential	:
Telephone Number	:	872-235-2723

Provider Enumeration Date	:	01/06/2022
Last Update Date	:	01/24/2022

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