Provider Demographics
NPI:1184617318
Name:PULMONARY, CRITICAL CARE & SLEEP MEDICINE SPECIALISTS, S. C./MCHENRY
Entity type:Organization
Organization Name:PULMONARY, CRITICAL CARE & SLEEP MEDICINE SPECIALISTS, S. C./MCHENRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZUBAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-381-4491
Mailing Address - Street 1:1710 N RANDALL RD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-9400
Mailing Address - Country:US
Mailing Address - Phone:847-931-7900
Mailing Address - Fax:847-931-1562
Practice Address - Street 1:4309 W MEDICAL CENTER DR
Practice Address - Street 2:SUITE B210
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-8419
Practice Address - Country:US
Practice Address - Phone:815-759-9960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL205736Medicare ID - Type Unspecified
ILC44555Medicare UPIN