NPIMap

Organization Active NPI

Naeem a Qureshi PC

  • Psychiatry Physician
  • Marion, IL
National Provider Identifier
1467492298
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NAEEM A QURESHI PC
Practice address
4503 W Deyoung St
Marion, IL 62959-5801
Phone
(618) 998-0888
Fax
(618) 998-0888
NPI assigned
Jun 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Naeem A Qureshi, MDNPI 1588618482
Title
Owner
Phone
(618) 998-0888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X IL Primary

Addresses

Primary practice location

4503 W Deyoung St
Marion, IL 62959-5801

Mailing address

4503 W Deyoung St
Marion, IL 62959-5801
Phone (618) 998-0888

National Provider Directory

National Provider Directory

Locations

4503 W Deyoung St
Marion, IL 62959
Phone (618) 998-0888

4503 W Deyoung St
Ste 103C
Marion, IL 62959
Phone (618) 998-0888

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467492298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 W DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595801",
            "telephone_number": "618-998-0888",
            "fax_number": "618-998-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 W DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595801",
            "telephone_number": "618-998-0888",
            "fax_number": "618-998-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAEEM A QURESHI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "NAEEM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-998-0888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.