Active NPI
Bushra Haider MD LLC
- Family Medicine Physician
- Oak Brook, IL
National Provider Identifier
1174092993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BUSHRA HAIDER MD LLC
- Practice address
- 2001 Midwest Rd Ste 110
Oak Brook, IL 60523-4300 - Phone
- (630) 360-2646
- NPI assigned
- Nov 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bushra Haider, MD
- Title
- President
- Phone
- (630) 932-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2001 Midwest Rd Ste 110
Oak Brook, IL 60523-4300
Mailing address
6103 Tyrnbury Dr
Lisle, IL 60532-3200
Phone (412) 979-3470
Other practice location 1
1S161 Summit Ave
Oakbrook Terrace, IL 60181-3904
Phone (630) 932-8000
National Provider Directory
National Provider DirectoryLocations
2001 Midwest Rd
Ste 105
Oak Brook, IL 60523
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Wheaton, IL
- NPI 1417139106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553817600000",
"number": "1174092993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6103 TYRNBURY DR",
"city": "LISLE",
"state": "IL",
"postal_code": "605323200",
"telephone_number": "412-979-3470",
"fax_number": "630-932-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MIDWEST RD STE 110",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605234300",
"telephone_number": "630-360-2646"
}
],
"practiceLocations": [
{
"address_1": "1S161 Summit Ave",
"address_purpose": "LOCATION",
"city": "Oakbrook Terrace",
"state": "IL",
"postal_code": "601813904",
"country_code": "US",
"telephone_number": "630-932-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BUSHRA HAIDER MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-21",
"last_updated": "2019-03-29",
"status": "A",
"authorized_official_last_name": "HAIDER",
"authorized_official_first_name": "BUSHRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-932-8000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.