Ijaz Qayyum M.D.,S.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036049622 Issued in IL

Legal business name

IJAZ QAYYUM M.D.,S.C.

Practice address

7530 W College Dr
Suite C
Palos Heights, IL 60463-1196

Phone

(708) 361-0718

Fax

(708) 361-1379

NPI assigned

May 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ijaz Qayyum, M.D.

Title

Medical Director

Phone

(708) 361-0718

Specialties & licenses 1

Addresses

Practitioners 1

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

• Shakir Moiduddin, MD

  • Family Medicine Physician
  • Palos Heights, IL
  • NPI 1295810547
  NPD (past)

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1437477270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 W COLLEGE DR",
            "address_2": "SUITE C",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631196",
            "telephone_number": "708-361-0718",
            "fax_number": "708-361-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 W COLLEGE DR",
            "address_2": "SUITE C",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631196",
            "telephone_number": "708-361-0718",
            "fax_number": "708-361-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IJAZ QAYYUM M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "QAYYUM",
        "authorized_official_first_name": "IJAZ",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "708-361-0718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036049622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ribhieh Hussein
• Gavin D Hutchinson, PTA.
• Kevin John Huyser, M.A., L.C.P.C.
• Hygeia Medical Group SC
• Hykelyfe, PLLC
• Antonino Ilardo, DDS
• Lela Iliopoulos, RD, LDT, CDE,MNT
• Illinois Mobile Home Physicians Corp.
• Immpact Cardiology SC
• Independence Resources, Inc

• Surgery Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.