Provider Demographics
NPI:1457434235
Name:AKHTER, JAVEED (MD)
Entity Type:Individual
Prefix:
First Name:JAVEED
Middle Name:
Last Name:AKHTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16151 WEBER RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CREST HILL
Mailing Address - State:IL
Mailing Address - Zip Code:60403-0864
Mailing Address - Country:US
Mailing Address - Phone:815-588-5012
Mailing Address - Fax:815-588-5015
Practice Address - Street 1:16151 WEBER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CREST HILL
Practice Address - State:IL
Practice Address - Zip Code:60403-0864
Practice Address - Country:US
Practice Address - Phone:815-588-5012
Practice Address - Fax:815-588-5015
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL0360544622080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036054462Medicaid