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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036143807 | 05 |
Street Address |
12255 S 80TH AVE |
City | PALOS HEIGHTS |
State | IL |
Zip Code | 60463-1270 |
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 |
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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 Code | 208C00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Colon & Rectal Surgery |
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. |
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 |
Find all providers with the same taxonomy |
City | PALOS HEIGHTS |
Zip Code | 60463 |
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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.