Javid Iqbal

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

JAVID IQBAL

Doing business as

Odessa Neurology Clinic and EMG Lab

Practice address

1752 Windsor Rd
Suite 202
Loves Park, IL 61111-4280

Phone

(815) 282-9881

Fax

(815) 282-9891

NPI assigned

Oct 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Javaid Iqbal, MDNPI 1942304035

Title

Owner/Doctor

Phone

(815) 282-9881

Specialties & licenses 1

Addresses

Other names 1

• Odessa Neurology Clinic and EMG Lab Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Javaid Iqbal, M.D.

  • Neurology Physician
  • Beloit, WI
  • NPI 1942304035
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1164601282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2189",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611300189",
            "telephone_number": "815-282-9881",
            "fax_number": "815-282-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 WINDSOR RD",
            "address_2": "SUITE 202",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114280",
            "telephone_number": "815-282-9881",
            "fax_number": "815-282-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVID IQBAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "JAVAID",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "815-282-9881",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odessa Neurology Clinic and EMG Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheila Isit, PHARMACIST
• Tarica Rashaun Jackson, LCSW
• Salli Jacobsen
• Samuel Janczak, LMT
• Leah Jankowski, M.ED, ATC
• John M. Jaworowicz, M.D.
• Reginald Jean Gilles
• Jeffrey Dannatt LTD
• Jennifer Dungan OD PLLC
• John V Kim DDS PC

• Neurology Physician in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.