Organization Active NPI

Quadri Family Practice, SC

  • Family Medicine Physician
  • Elgin, IL
National Provider Identifier
1942349006
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36088009 Issued in IL
Legal business name
QUADRI FAMILY PRACTICE, SC
Practice address
2350 Royal Blvd Ste 400
Elgin, IL 60123-4718
Phone
(847) 742-3333
Fax
(847) 742-9070
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Dr. Syed J Quadri, M.D.NPI 1245307289
Title
Owner
Phone
(847) 742-3333

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
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 36088009 IL Primary

Addresses

Primary practice location

2350 Royal Blvd Ste 400
Elgin, IL 60123-4718

Mailing address

2350 Royal Blvd Ste 400
Elgin, IL 60123-4718
Phone (847) 742-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050708000701 IL Part B Supplier - Clinic/Group Practice 0840226171 Receives reassigned benefits from 1 practitioner
Practice locations: Elgin, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1012376Quadri Family Practice2350 Royal Blvd - Ste 400, Elgin, IL 60123Certificate of waiverJan 8, 2028

National Provider Directory

National Provider Directory

Locations

750 Fletcher Dr
Ste 305
Elgin, IL 60123
Phone (847) 742-3333

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1942349006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 ROYAL BLVD STE 400",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234718",
            "telephone_number": "847-742-3333",
            "fax_number": "847-742-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 ROYAL BLVD STE 400",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234718",
            "telephone_number": "847-742-3333",
            "fax_number": "847-742-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUADRI FAMILY PRACTICE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "QUADRI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-742-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36088009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.