Azeem S Haleem, MD
Individual provider Active NPI Urology Physician · Sandwich, IL
NPI 1154366706 · NPPES record last updated May 12, 2017
Key facts
- NPI
- 1154366706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 036084000 (IL)
- Practice address
- 1310 N Main
Suite 200
Sandwich, IL 60548-1394 - Phone
- (815) 786-9988
- Fax
- (815) 786-9986
- NPI assigned
- Jun 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 20
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Duke University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northwestern Medical Faculty Foundation
Practice addresses (Care Compare)
1302 N Main St
Sandwich, IL 60548-2587
Phone (815) 786-8484
1850 Gateway Dr
Sycamore, IL 60178-3192
2635 Church Rd
Suite 101
Aurora, IL 60502-8943
Phone (630) 315-6900
515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870
636 Raymond Dr
Suite 107
Naperville, IL 60563-9789
Phone (630) 416-2300
660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146
675 N Saint Clair St
Chicago, IL 60611-5975
675 N St Clair
Chicago, IL 60611-5975
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
- Valley West Community Hospital
- Northwestern Medicine Kishwaukee Hospital
- Saint Francis Medical Center
- Edward Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040924001005 | IL | Practitioner - Urology | 6709855935 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current |
Accepting new patients | |
| Central Dupage Physician Group | Current |
Accepting new patients | |
| United Shockwave Services, LTD. | Urology | Current | Accepting new patients |
| United Shockwave Services, LTD. | Urology | Current |
Accepting new patients |
| Northwestern Medical Faculty Foundation | Current |
Accepting new patients | |
| Central Dupage Physician Group | Current |
Accepting new patients | |
| United Shockwave Services, LTD. | Current |
Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
1875 W Dempster St
Ste G04
Park Ridge, IL 60068
Phone (630) 684-9361
224 E Railroad St
Sandwich, IL 60548
Phone (815) 786-7150
1310 N Main St
Sandwich, IL 60548
Phone (815) 786-3770
1310 N Main St
Ste 200
Sandwich, IL 60548
Phone (815) 786-7150
450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123
1850 Gateway Dr
Ste 203
Sycamore, IL 60178
Phone (815) 766-3942
1850 Gateway Dr
Sycamore, IL 60178
Phone (815) 217-3252
200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 036084000 | IL | Yes |
Addresses
Primary practice location
1310 N Main
Suite 200
Sandwich, IL 60548-1394
Mailing address
1310 N Main St
Sandwich, IL 60548-1394
Phone (815) 786-9988
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036084000 | Other | IL | MEDICAID |
| 036084000 | Medicaid | IL | |
| IL6309002 | Other | IL | MEDICARE INDIVIDUAL |
| IL6309 | Other | IL | MEDICARE GROUP |
Other providers in Sandwich, IL
- Daniel D Gauthier
- Jennifer Erin Geltz
- John R Gleason
- Teresa E Grant
- Sarah Greenhagen
- Jason Hanks
- James N Hawkins
- Rheanna Hendricks
- Brittany Leigh Herrmann
- Penni Jo Hicks-Blue
All providers in Sandwich, IL · Urology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.