Danville Polyclinic LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036104384 Issued in IL

Legal business name

DANVILLE POLYCLINIC LTD

Practice address

735 N Logan Ave
Danville, IL 61832-4369

Phone

(217) 443-9100

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Naveed Sadiq, M.D.

Title

Medical Director

Phone

(217) 443-9100

Specialties & licenses 1

Addresses

Other names 1

• DANVILLE POLYCLINIC SADIQ'S OFFICE Doing business as

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1811040611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324360",
            "telephone_number": "217-446-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324369",
            "telephone_number": "217-443-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE POLYCLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "SADIQ",
        "authorized_official_first_name": "NAVEED",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "217-443-9100",
        "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": "036104384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DANVILLE POLYCLINIC SADIQ'S OFFICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Danville Pain Management and Rehabilitation Institute, LLC.
• Danville Pediatric Center
• Danville Polyclinic, LTD
• Danville Polyclinic, LTD
• Danville Vamc
• Danville Vamc
• Margie L Dash, M.S.

• Internal Medicine Physician in Danville, IL
• Providers in Danville, 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 Aug 23, 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.