Basic Information
| Provider Information | |||||||||
| NPI: | 1215389903 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SALEEM | ||||||||
| FirstName: | SAMEER | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3130 N LAKE SHORE DR APT 909 | ||||||||
| Address2: | APT 909 | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606574917 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3125221429 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2900 N LAKE SHORE DR | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606575640 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7736653022 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2016 | ||||||||
| LastUpdateDate: | 07/06/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 125.068635 | IL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.