MEDICARE: AZHER A. QUADER M.D.

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	208800000X	Urology Physician	036-076713	IL

General Provider Information

NPI Number	:	1992859219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AZHER A. QUADER M.D.

Provider Business Mailing Address
First Line	:	1640 N ARLINGTON HEIGHTS RD
Second Line	:	SUITE 110
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-3985
Country	:	US
Telephone Number	:	847-255-7400
Fax Number	:	847-398-4585

Provider Business Practice Location Address
First Line	:	1640 N ARLINGTON HEIGHTS RD
Second Line	:	SUITE 110
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-3985
Country	:	US
Telephone Number	:	847-255-7400
Fax Number	:	847-398-4585

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	07/08/2007

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