Provider Demographics
NPI:1992884084
Name:HAMEEDUDDIN, AFSHAN (MD)
Entity type:Individual
Prefix:
First Name:AFSHAN
Middle Name:
Last Name:HAMEEDUDDIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 W HIGGINS RD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-7220
Mailing Address - Country:US
Mailing Address - Phone:847-885-8480
Mailing Address - Fax:847-885-9201
Practice Address - Street 1:2500 W HIGGINS RD
Practice Address - Street 2:SUITE 340
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-7220
Practice Address - Country:US
Practice Address - Phone:847-885-8480
Practice Address - Fax:847-885-9201
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-100062207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1639249OtherBCBS
P00667849OtherRAILROAD MEDICARE
IL0361000622Medicaid
K52607Medicare PIN
IL0361000622Medicaid