Abdul and Bandy LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

ABDUL AND BANDY LLC

Practice address

4437 E State St # 3
Rockford, IL 61108-2114

Phone

(815) 627-0419

NPI assigned

Feb 23, 2022

Last updated

Feb 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Taha Mirza, DDOS

Title

Lab Director

Phone

(847) 322-8054

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1952057523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 N COOLIDGE AVE",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600672224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 E STATE ST # 3",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082114",
            "telephone_number": "815-627-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDUL AND BANDY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "TAHA",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "847-322-8054",
        "authorized_official_credential": "DDOS"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "OCLLIS",
            "affiliation": "N",
            "address_1": "4437 E State St # 3",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611082114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Waleed Abbasi, M.D.
• Turkia Mahmud Abbed, M.D.
• Haneen Abdalhadi, MD
• Walid F Abdallah, MD
• Mary Abdelmalak, MD
• Josselin Abelar
• Jonathan Nabong Abiera, DMD
• Able Home Health, LLC
• Shiela Ablina, PT
• Muhanad Abou Touk, M.D

• Community Health Clinic/Center in Rockford, IL
• Providers in Rockford, IL by specialty
• Community Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.