Provider Demographics
NPI:1114129921
Name:NAZEER, ABID KHALID (MD)
Entity Type:Individual
Prefix:DR
First Name:ABID
Middle Name:KHALID
Last Name:NAZEER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 HARGER RD STE 200
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1816
Mailing Address - Country:US
Mailing Address - Phone:630-607-0387
Mailing Address - Fax:630-385-0290
Practice Address - Street 1:1200 HARGER RD STE 200
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1816
Practice Address - Country:US
Practice Address - Phone:630-607-0387
Practice Address - Fax:630-385-0290
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361280692084A0401X
IL036.1280692084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036128069Medicaid
LA07632Medicaid
LA07632Medicaid
211323006Medicare PIN