Provider Demographics
NPI:1679522668
Name:HYDER-ZAHEER, QUDSIA (MD)
Entity Type:Individual
Prefix:DR
First Name:QUDSIA
Middle Name:
Last Name:HYDER-ZAHEER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 RIDGEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2610
Mailing Address - Country:US
Mailing Address - Phone:630-916-3000
Mailing Address - Fax:630-916-3253
Practice Address - Street 1:1196 S MAIN ST
Practice Address - Street 2:UNIT F
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-3951
Practice Address - Country:US
Practice Address - Phone:630-916-3000
Practice Address - Fax:630-916-3253
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILBH4033077OtherDEA NUMBER
ILF78281Medicare UPIN