DR. IMAD QAYYUM


Address: 12255 S 80th Ave, Palos Heights, IL 60463-1270
Phone: 7089234400

DR. IMAD QAYYUM (NPI# 1760776173) 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) 1760776173
Entity Type Individual
Full Name DR. IMAD QAYYUM
Credential M.D.
Practice Address 12255 S 80th Ave
Palos Heights
IL 60463-1270
Mailing Address 12251 S 80th Ave Ste 1630
Palos Heights
IL 60463-1256
Practice Telephone 7089234400
Practice Fax Number 7089234421
Mailing Telephone 7089235173
Mailing Fax Number 7089235018
Enumeration Date 2011-06-02
Last Update Date 2019-01-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery 036.143807 IL Allopathic & Osteopathic Physicians
Y 208C00000X Colon & Rectal Surgery 036.143807 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036143807 05

Office Location

Street Address 12255 S 80TH AVE
City PALOS HEIGHTS
State IL
Zip Code 60463-1270

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356330286 Bruce R Dolitsky Orthopaedic Surgery 12255 S 80th Ave, Palos Heights, IL 60463-1270 2005-10-13
1699387910 Wilma Montilla-rener Nurse Practitioner 12255 S 80th Ave, Palos Heights, IL 60463-1270 2020-08-18
1780048058 Debora Delre Nurse Practitioner 12255 S 80th Ave, Suite 202, Palos Heights, IL 60463-1258 2016-04-12
1306203757 Shelley Kay Mayer-zich Nurse Practitioner 12255 S 80th Ave, Palos Heights, IL 60463-1270 2016-01-15
1881078392 Radhika Chimata Psychiatry & Neurology 12255 S 80th Ave, Palos Heights, IL 60463-1270 2015-07-14
1548640535 Talha John Baloch Psychiatry & Neurology 12255 S 80th Ave, Palos Heights, IL 60463-1270 2015-06-04
1326482688 Anmol Tolani Psychiatry & Neurology 12255 S 80th Ave, Palos Heights, IL 60463-1270 2013-04-17
1558625251 Anthony Casini Surgery 12255 S 80th Ave, Palos Heights, IL 60463 2012-06-27
1548532591 Darlene C Flowers Nurse Practitioner 12255 S 80th Ave, Palos Heights, IL 60463-1270 2012-02-07
1720243025 Sameen Ahmad Psychiatry & Neurology 12255 S 80th Ave, Palos Heights, IL 60463-1270 2008-07-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932756095 Kim Rusiecki Technician 25 Parliament Drive East, Palos Heights, IL 60463 2019-08-23
1265925218 Sentinel Anesthesia of Illinois, PC Anesthesiology 7340 W College Dr Fl 1, Palos Heights, IL 60463 2018-06-13
1225410848 Deborah Ann Castaneda Skilled Nursing Facility 12350 Natchez Ave., Palos Heights, IL 60463 2015-06-19
1609253160 Tareq Ayyad Physical Therapy Assistant 11730 Lighthouse Ln, Palos Heights, IL 60463 2015-05-04
1366846503 Ryan Teahen Dentist 7600 W College Dr Ste 17, Palos Heights, IL 60463 2014-10-17
1295140309 Paul Park Ophthalmology 7600 W College Dr Ste 9, Palos Heights, IL 60463 2014-06-26
1275976045 Nazim A. Khan Physician Assistant 6450 West College Drive, Palos Heights, IL 60463 2013-04-11
1619246824 Amanda M Ejka Psychologist 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 2011-12-16
1578832937 Sandi Maheras Pharmacist 1703 Spyglass Cir, Palos Heights, IL 60463 2011-12-14
1043597065 Ashraf Olwan Pharmacist 7660 W Sequoia Rd, Palos Heights, IL 60463 2011-11-04
Find all providers in zip 60463

Taxonomy Information

Taxonomy Code 208C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Colon & Rectal Surgery

Taxonomy Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477189959 Mantilla Surgical Sc Colon & Rectal Surgery 42 Gale Ave, River Forest, IL 60305-2010 2020-03-17
1245662626 Ajit Pai Colon & Rectal Surgery 1775 W Dempster Street, Advocate Lutheran Hospital, Parkridge, IL 60016-4993 2013-08-07
1376845149 Saeed Salem Albalawi Colon & Rectal Surgery 2626 N Ashland Ave, Apartment #1, Chicago, IL 60614-1102 2010-11-29
1386962207 Gerald Gantt Jr. Colon & Rectal Surgery 840 S Wood St Ste 518e, Chicago, IL 60612 2010-05-17
1336186113 Darryl Fernandes Colon & Rectal Surgery 1300 Franklin Ave Ste 210, Normal, IL 61761-3588 2006-06-01
1265498463 Shanmugam Lakshmanan Sc Colon & Rectal Surgery 111 E Rogers St, Salem, IL 62881-2902 2006-04-25
1225014889 Sanath Kumar Colon & Rectal Surgery 9445 W 144th Pl, Orland Park, IL 60462-2543 2005-12-15
1942291604 Vitaliy Y. Poylin Colon & Rectal Surgery 259 E Erie St Fl 16, Chicago, IL 60611-2987 2005-11-02
1457348401 Jan Rakinic Colon & Rectal Surgery 315 W Carpenter St, 2nd Floor, Springfield, IL 62702-4901 2005-10-04
1104379973 Jean-francois Tremblay Colon & Rectal Surgery 1550 N Northwest Hwy, Suite 107, Park Ridge, IL 60068-1411 2016-07-28
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Competitor

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City PALOS HEIGHTS
Zip Code 60463

Improve Information

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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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