Haider Medical Group, LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036100063 Issued in IL

Legal business name

HAIDER MEDICAL GROUP, LTD

Practice address

5911 Northwest Hwy
Suite 101
Crystal Lake, IL 60014-8065

Phone

(815) 788-0468

Fax

(815) 788-0489

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Syed Waseem Haider, M.D.

Title

President

Phone

(815) 788-0468

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1538254693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2036",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600392036",
            "telephone_number": "815-788-0468",
            "fax_number": "815-788-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 NORTHWEST HWY",
            "address_2": "SUITE 101",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148065",
            "telephone_number": "815-788-0468",
            "fax_number": "815-788-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIDER MEDICAL GROUP, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "WASEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-788-0468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036100063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100063",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwa Optical LLC
• Tonya Haase
• Aubrey Haddican, M.S., OTR/L
• Linda Hadlock, LCSW
• Rebecca Lynn Hahnfeld, LCPC
• Shabana Haider
• Syed Waseem Haider, M.D.
• Henna Hakala, PTA
• Randy Joseph Halihan, DDS
• Christine Hall

• Internal Medicine Physician in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.