Qureshi, Sherazuddin
Qureshi, Sherazuddin is an individual health care provider with primary practice located at 20060 Governors Dr , Olympia Fields IL 60461. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Qureshi, Sherazuddin can be contacted via phone (815) 824-4406.Contact Information
Primary practice address
20060 Governors Dr
Olympia Fields IL 60461
Phone: (815) 824-4406
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036141475 | Illinois |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 036141475 | Illinois |
Profile Details
| NPI number | 1043453806 |
|---|---|
| LBN Legal business name | Qureshi, Sherazuddin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2009 |
| Last updated | May 6th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043453806 | NPPES |
| Illinois | Other | 036141475 | STATE LICENSE |
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