Provider Demographics
NPI:1417493735
Name:ALMUQTADIR INC.
Entity type:Organization
Organization Name:ALMUQTADIR INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZEBA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAKIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-798-1665
Mailing Address - Street 1:19150 KEDZIE AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-4375
Mailing Address - Country:US
Mailing Address - Phone:708-798-1665
Mailing Address - Fax:708-647-9734
Practice Address - Street 1:19150 KEDZIE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-4375
Practice Address - Country:US
Practice Address - Phone:708-798-1665
Practice Address - Fax:708-647-9734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-10
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036092370208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty