Provider Demographics
NPI:1861252363
Name:QAZI MOHAMMED, AQEEL U
Entity type:Individual
Prefix:
First Name:AQEEL
Middle Name:U
Last Name:QAZI MOHAMMED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 HILL DR APT 109
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-1541
Mailing Address - Country:US
Mailing Address - Phone:773-567-6774
Mailing Address - Fax:
Practice Address - Street 1:575 HILL DR APT 109
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-1541
Practice Address - Country:US
Practice Address - Phone:773-567-6774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor