Provider Demographics
NPI:1053068635
Name:KALEEMULLA, ZUBAIR
Entity Type:Individual
Prefix:
First Name:ZUBAIR
Middle Name:
Last Name:KALEEMULLA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1437 ALBANY CT APT 102
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-3595
Mailing Address - Country:US
Mailing Address - Phone:224-428-5588
Mailing Address - Fax:
Practice Address - Street 1:988 LAKE ST # 988
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172-3354
Practice Address - Country:US
Practice Address - Phone:224-428-5588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center