Provider Demographics
NPI:1235176074
Name:AKHTER, NADEEM (MD)
Entity Type:Individual
Prefix:DR
First Name:NADEEM
Middle Name:
Last Name:AKHTER
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 1:3100 DUNDEE RD
Mailing Address - Street 2:SUITE 506
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-2402
Mailing Address - Country:US
Mailing Address - Phone:847-562-0840
Mailing Address - Fax:630-718-0900
Practice Address - Street 1:3100 DUNDEE RD STE 506
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2449
Practice Address - Country:US
Practice Address - Phone:847-562-0840
Practice Address - Fax:630-718-0900
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036092369207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036092369Medicaid
ILG25883Medicare UPIN