DR. NIDA JUNAID


Address: 305 W Jackson St Ste 301, Carbondale, IL 62901-1474
Phone: 6185290520

DR. NIDA JUNAID (NPI# 1053678755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053678755
Entity Type Individual
Full Name DR. NIDA JUNAID
Credential M.D.
Practice Address 305 W Jackson St Ste 301
Carbondale
IL 62901-1474
Mailing Address Po Box 3988
Carbondale
IL 62902-3988
Practice Telephone 6185290520
Practice Fax Number 6185290519
Mailing Telephone 6184575200
Enumeration Date 2012-04-18
Last Update Date 2020-08-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
036152719 IL Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
036152719 IL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
301 S Park Ave, Herrin, IL 629483603 6189422006 6189422012

Office Location

Street Address 305 W JACKSON ST STE 301
City CARBONDALE
State IL
Zip Code 62901-1474

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770125817 Jill Martin Nurse Practitioner 305 W Jackson St Ste 301, Carbondale, IL 62901-1474 2019-10-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558961268 Gerad Aaron Harsy Pharmacist Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 2020-10-30
1437708674 Board of Trustees of Southern Illinois University Clinic/Center 300 W Oak Street, Carbondale, IL 62901 2019-09-10
1306317383 Rachael O Johnson Nurse Practitioner 404 S. Lewis Ln, Carbondale, IL 62901 2018-12-17
1740795194 Megan Marie Zimmerman Nurse Practitioner 1100 W Diann Ln., Carbondale, IL 62901 2017-12-07
1295244242 Amy Elizabeth Prudencio Social Worker 1301 E. Walnut Street, Carbondale, IL 62901 2017-09-21
1740708171 Theresa Aleise Goodin Speech-Language Pathologist 1301 East Walnut Street, Carbondale, IL 62901 2017-09-06
1144762527 Kathleen Chwalisz Rigney Psychologist 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 2016-11-16
1285185173 Shawnee Health Service and Development Corp Social Worker 404 S. Lewis Lane, Carbondale, IL 62901 2016-10-17
1437605094 Arielle Greer Nurse's Aide 510 E. Russell St., A, Carbondale, IL 62901 2016-09-01
1518413863 Complete Family Eyecare of Carbondale, PC Optometrist 1241 East Walnut Street, Carbondale, IL 62901 2016-08-28
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336393875 Parviz B. Sanjabi Internal Medicine 1335 Cedar Court, Carbondale, IL 62901 2008-11-11
1649428475 Gurpreet Singh Bambra Internal Medicine 305 W Jackson St, Suite 301, Carbondale, IL 62901-1474 2008-09-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720636202 Pulmonary Associates Ltd Internal Medicine 71 W 156th St Ste 203, Harvey, IL 60426-4262 2019-08-28
1336516467 Hesham A. Hassaballa, Md, Ltd Internal Medicine 109 Symonds Dr Unit 684, Hinsdale, IL 60522-7304 2015-08-24
1497141394 Pulmonary and Critical Care Solutions, LLC Internal Medicine 6116 N 2200 East Rd, Downs, IL 61736-9459 2015-04-08
1558771220 Christopher Charles Sutton Internal Medicine 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1281 2014-05-05
1861835985 Christie Ann Brillante Internal Medicine 1801 W. Taylor, Suite 3c, Chicago, IL 60612-4795 2013-04-08
1992050850 Thomas Christopher Draghi Internal Medicine 155 Linden Ave, Oak Park, IL 60302-2610 2012-07-17
1144586041 Robert T Zeck Internal Medicine 13141 Lake Mary Dr, Plainfield, IL 60585-2650 2012-04-04
1508160359 Aziz Rahman Md Facp PC Internal Medicine 1050 Martin Luther King Dr, Ste 109, Centralia, IL 62801 2011-01-07
1811211774 Vitalcare Medical Sc Internal Medicine 1146 S Waukegan Rd, Waukegan, IL 60085-6731 2010-03-22
1508095605 Farhan Zaidi Internal Medicine 444 N Northwest Hwy Ste 206, Park Ridge, IL 60068 2009-07-09
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Competitor

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City CARBONDALE
Zip Code 62901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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