Provider Demographics
NPI:1245307289
Name:QUADRI, SYED J (MD)
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:J
Last Name:QUADRI
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 1:750 FLETCHER DR
Mailing Address - Street 2:SUITE 305
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-4703
Mailing Address - Country:US
Mailing Address - Phone:847-742-3333
Mailing Address - Fax:847-742-9070
Practice Address - Street 1:750 FLETCHER DR
Practice Address - Street 2:SUITE 305
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-4703
Practice Address - Country:US
Practice Address - Phone:847-742-3333
Practice Address - Fax:847-742-9070
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36088009207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty