Provider Demographics
NPI:1417068495
Name:MAJEED, SOHEL A (DPM)
Entity Type:Individual
Prefix:DR
First Name:SOHEL
Middle Name:A
Last Name:MAJEED
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:SOHEL
Other - Middle Name:A
Other - Last Name:MAJEED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:2004 N PULASKI RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60639-3767
Mailing Address - Country:US
Mailing Address - Phone:224-848-0237
Mailing Address - Fax:773-772-8876
Practice Address - Street 1:24 WOOD OAKS DR
Practice Address - Street 2:
Practice Address - City:SOUTH BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-1092
Practice Address - Country:US
Practice Address - Phone:224-848-0237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016-004709213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL016004709Medicaid
IL2206630OtherBLUECROSS/BLUESHIELD
IL353680Medicare ID - Type Unspecified
ILU51586Medicare UPIN