Provider Demographics
NPI:1639348881
Name:SAEED, ATHAR MUHAMMAD (MD)
Entity Type:Individual
Prefix:DR
First Name:ATHAR
Middle Name:MUHAMMAD
Last Name:SAEED
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 1:334 OSAGE DR
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-2136
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:151 W HIGH ST
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:MORRIS
Practice Address - State:IL
Practice Address - Zip Code:60450-1407
Practice Address - Country:US
Practice Address - Phone:815-705-1000
Practice Address - Fax:815-705-2709
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036136483207RC0000X
WI53219-20207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036136483Medicaid
ILF400184328Medicare PIN
ILF400184327Medicare PIN