Provider Demographics
NPI:1558504142
Name:ABDULLAH, LUBNA QAZI (MD)
Entity Type:Individual
Prefix:
First Name:LUBNA
Middle Name:QAZI
Last Name:ABDULLAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LUBNA QAZI
Other - Middle Name:NOOR
Other - Last Name:ABDULLAH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:290 W LOOP RD
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-2034
Mailing Address - Country:US
Mailing Address - Phone:630-868-3621
Mailing Address - Fax:
Practice Address - Street 1:290 W LOOP RD
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-2034
Practice Address - Country:US
Practice Address - Phone:630-868-3621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-12
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD390200000X
IL036.138677208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program