| Haider Medical Group, Ltd | |
|
5911 Northwest Hwy Suite 101 Crystal Lake IL 60014-8065 | |
| (815) 788-0468 | |
| (815) 788-0489 |
| Full Name | Haider Medical Group, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 5911 Northwest Hwy, Crystal Lake, Illinois |
| Authorized Official Name and Position | Syed Waseem Haider (PRESIDENT) |
| Authorized Official Contact | 8157880468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haider Medical Group, Ltd Po Box 2036 Crystal Lake IL 60039-2036 Ph: (815) 788-0468 | Haider Medical Group, Ltd 5911 Northwest Hwy Suite 101 Crystal Lake IL 60014-8065 Ph: (815) 788-0468 |
| NPI Number | 1538254693 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 12/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538254693 | NPI | - | NPPES |
| 036100063 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036100063 (Illinois) | Primary |
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