Provider Demographics
NPI:1154655785
Name:SAYEED NURUL IQBAL,M.D., P.C.
Entity Type:Organization
Organization Name:SAYEED NURUL IQBAL,M.D., P.C.
Other - Org Name:LINCOLN PARK OBSTETRICS AND GYNECOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAYEED
Authorized Official - Middle Name:NURUL
Authorized Official - Last Name:IQBAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-787-3444
Mailing Address - Street 1:5316 N BOWMANVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-1007
Mailing Address - Country:US
Mailing Address - Phone:312-787-3444
Mailing Address - Fax:800-771-5870
Practice Address - Street 1:5316 N BOWMANVILLE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-1007
Practice Address - Country:US
Practice Address - Phone:773-851-0579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-29
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036088946261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service