Provider Demographics
NPI:1942349006
Name:QUADRI FAMILY PRACTICE, SC
Entity Type:Organization
Organization Name:QUADRI FAMILY PRACTICE, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:J
Authorized Official - Last Name:QUADRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-742-3333
Mailing Address - Street 1:2350 ROYAL BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-4718
Mailing Address - Country:US
Mailing Address - Phone:847-742-3333
Mailing Address - Fax:847-742-9070
Practice Address - Street 1:2350 ROYAL BLVD STE 400
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-4718
Practice Address - Country:US
Practice Address - Phone:847-742-3333
Practice Address - Fax:847-742-9070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36088009207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty