Basic Information
Provider Information
NPI: 1942529623
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAYEED
FirstName: KHALEEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 120 W 22ND ST STE 200
Address2:  
City: OAK BROOK
State: IL
PostalCode: 605231563
CountryCode: US
TelephoneNumber: 6305755000
FaxNumber:  
Practice Location
Address1: 2222 W DIVISION ST STE 260
Address2:  
City: CHICAGO
State: IL
PostalCode: 606222990
CountryCode: US
TelephoneNumber: 7082525809
FaxNumber: 6307017521
Other Information
ProviderEnumerationDate: 05/20/2010
LastUpdateDate: 06/01/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/01/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300X036132228ILY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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