Provider Demographics
NPI:1982669495
Name:NAJAM, NADEEM WAHEED (MD)
Entity type:Individual
Prefix:DR
First Name:NADEEM
Middle Name:WAHEED
Last Name:NAJAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:120 W 22ND ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1563
Mailing Address - Country:US
Mailing Address - Phone:630-573-5000
Mailing Address - Fax:630-491-5459
Practice Address - Street 1:1420 N SENATE AVE STE A
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2211
Practice Address - Country:US
Practice Address - Phone:317-634-0920
Practice Address - Fax:317-634-0921
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.138441207RN0300X, 207RN0300X
IN01080760A207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300021687Medicaid
IN628850019OtherMEDICARE
WI46681-20OtherWISCONSIN STATE LICENSE NUMBER
WI1982669495Medicaid
WI1982669495Medicaid
WIWI1907001Medicare PIN