Organization Active NPI

Global Med Pro LLC

  • Family Medicine Physician
  • Crystal Lake, IL
National Provider Identifier
1265917876
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GLOBAL MED PRO LLC
Practice address
741 S McHenry Ave Ste C&D
Crystal Lake, IL 60014-7445
Phone
(815) 455-1344
Fax
(630) 559-7349
NPI assigned
Sep 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Authorized official

Name
Saleem Shahzad, MD
Title
Owner
Phone
(815) 455-1266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

741 S McHenry Ave Ste C&D
Crystal Lake, IL 60014-7445

Mailing address

741 S McHenry Ave Ste C&D
Crystal Lake, IL 60014-7445
Phone (815) 455-1344

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1265917876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 S MCHENRY AVE STE C&D",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147445",
            "telephone_number": "815-455-1344",
            "fax_number": "630-559-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 S MCHENRY AVE STE C&D",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147445",
            "telephone_number": "815-455-1344",
            "fax_number": "630-559-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL MED PRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "SHAHZAD",
        "authorized_official_first_name": "SALEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-455-1266",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.