Provider Demographics
NPI:1588819668
Name:ALMUQTADIR INC.
Entity Type:Organization
Organization Name:ALMUQTADIR INC.
Other - Org Name:HOMEWOOD PEDIATRIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZEBA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAKIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-798-1665
Mailing Address - Street 1:PO BOX 615
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-0615
Mailing Address - Country:US
Mailing Address - Phone:708-798-1665
Mailing Address - Fax:708-647-9734
Practice Address - Street 1:18811 DIXIE HWY
Practice Address - Street 2:SUITE 101
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-3919
Practice Address - Country:US
Practice Address - Phone:708-798-1665
Practice Address - Fax:708-647-9734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-092-370261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care